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Individual

DARRELL MARK CHEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
575 PROFESSIONAL DR, SUITE 510, LAWRENCEVILLE, GA 30046-3333
(770) 513-2072
(770) 513-7986
Mailing address
575 PROFESSIONAL DR, SUITE 510, LAWRENCEVILLE, GA 30046-3333
(770) 513-2072
(770) 513-7986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056033
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511G701200
MEDICARE-GROUP
GA
Enumeration date
08/03/2005
Last updated
09/15/2020
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