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DAVID H CHEATHAM MD NPI 1518969153


NPI Information

NPI: 1518969153
Provider Name: DAVID H CHEATHAM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 11D0961655

Address:
801 BEACON ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 285-2440
Get Directions

David H Cheatham, MD is a pediatrics in Waycross, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. David H Cheatham, MD NPI is 1518969153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 BEACON ST
WAYCROSS, GA
ZIP 31501-109
Phone: (912) 285-2440
Fax: (912) 287-0197

The CLIA number assigned to this NPI record is 11D0961655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 8/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics045745GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000797024DMEDICAIDGEORGIA
2D38693MEDICARE UPIN
3000797024BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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