Individual
CHERYL A BASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6012
(678) 490-0349
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
(678) 490-0349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000485548J
—
GA
Enumeration date
03/23/2007
Last updated
02/06/2022
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