Individual
CHERYL J KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 CLEVELAND AVE SW, #400, ATLANTA, GA 30315-7129
(404) 766-3337
(404) 766-1464
Mailing address
777 CLEVELAND AVE SW, #400, ATLANTA, GA 30315-7129
(404) 766-3337
(404) 766-1464
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
025773
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00286085V
—
GA
01
—
819825
BLUECROSS/BLUESHIELD
GA
Enumeration date
05/17/2006
Last updated
07/25/2008
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