Individual
CORY CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8222
Mailing address
GIM, 2ND FLOOR, 1008 SOUTH SPRING, ST. LOUIS, MO 63110
(314) 257-8222
(314) 577-8019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016018592
MO
208M00000X
Hospitalist Physician
Primary
2016018592
MO
Other
Enumeration date
03/26/2013
Last updated
04/02/2021
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