Individual
DAVID H CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BEACON ST, WAYCROSS, GA 31501-7109
(912) 285-2440
(912) 287-0197
Mailing address
801 BEACON ST, WAYCROSS, GA 31501-7109
(912) 285-2440
(912) 287-0197
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000797024B
—
GA
05
—
000797024D
—
GA
Enumeration date
08/12/2005
Last updated
08/07/2013
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