Individual
MISS COURTNEY CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
115 W 3RD ST, SUITE 800, TULSA, OK 74103-3410
(918) 585-3045
Mailing address
14600 N ROCKWELL AVE, #2007, OKLAHOMA CITY, OK 73142-8200
(405) 226-0348
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1982
OK
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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