Individual
ANGELA CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3335 S CRATER RD STE 500, PETERSBURG, VA 23805-9396
(804) 504-4610
(804) 709-0041
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008676
VA
Other
Enumeration date
07/09/2022
Last updated
01/03/2024
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