Individual
CHERELLE L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1368 BROOKWOOD DR SE, CAIRO, GA 39828-3463
(229) 672-9212
Mailing address
1368 BROOKWOOD DR SE, CAIRO, GA 39828-3463
(229) 672-9212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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