Individual
CHERYL WILLIS MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
838 POWDERSVILLE RD, SUITE G, EASLEY, SC 29642-3703
(864) 850-9988
(864) 850-9989
Mailing address
838 POWDERSVILLE RD, SUITE G, EASLEY, SC 29642-3703
(864) 850-9988
(864) 850-9989
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A385
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A385
STATE LICENSE
SC
Enumeration date
10/05/2006
Last updated
07/08/2007
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