Individual
DR. BENITA HURD CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
080965
GA
207L00000X
Anesthesiology Physician
Primary
S3136
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
11/10/2025
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