Individual
CHERYL ANNE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2155 W PARK CT, SUITE G, STONE MOUNTAIN, GA 30087-3500
(770) 465-5084
(770) 465-5304
Mailing address
2155 W PARK CT, SUITE G, STONE MOUNTAIN, GA 30087-3500
(770) 465-5084
(770) 465-5304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003991
GA
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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