Individual
CHERYL MORETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000139A
IN
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100791283
ANTHEM PTAN
IN
Enumeration date
07/26/2019
Last updated
12/05/2024
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