Individual
FELISHA CHEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 APPALACHIAN DR, RAEFORD, NC 28376-6342
(832) 374-3776
Mailing address
240 APPALACHIAN DR, RAEFORD, NC 28376-6342
(832) 374-3776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1688874
TX
Other
Enumeration date
07/22/2019
Last updated
08/22/2019
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