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CHERYLANCE PONDER FARNUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
777 CLEVELAND AVE SW STE 604, ATLANTA, GA 30315-7116
(404) 305-0004
Mailing address
777 CLEVELAND AVE SW STE 604, ATLANTA, GA 30315-7116
(404) 305-0004
(404) 305-0494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003804
CA

Other

Enumeration date
06/20/2006
Last updated
12/18/2023
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