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Individual

JASON M CHEYNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
308 COLISEUM DR, SUITE 200, MACON, GA 31217-3876
(478) 742-2180
(478) 745-2623
Mailing address
308 COLISEUM DR, SUITE 200, MACON, GA 31217-3876
(478) 742-2180
(478) 745-2623

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004145
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374935790A
GA
Enumeration date
07/07/2005
Last updated
05/19/2008
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