Individual
CHEYNE A CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060
(770) 424-6893
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016522
NY
363A00000X
Physician Assistant
Primary
9149
GA
Other
Enumeration date
04/17/2013
Last updated
12/03/2019
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