Individual
MRS. CHERI STAPLES STAPLES MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3825 MEDICAL PARK DR,, SUITE 301, AUSTELL, GA 30106
(404) 605-2800
(678) 324-4275
Mailing address
275 COLLIER RD, NW, SUITE 500, ATLANTA, GA 30309
(404) 605-2800
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN135902
GA
363LF0000X
Family Nurse Practitioner
Primary
135902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129185A
—
GA
05
—
003129185B
—
GA
05
—
003129185C
—
GA
05
—
003129185D
—
GA
05
—
003129185E
—
GA
Enumeration date
05/24/2011
Last updated
11/07/2013
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