Cheryl Elizabeth Willingham N.P.

NPI 1548587264 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1548587264
Gender Female
Enumeration Date 04/21/2010
Last Updated 04/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1990 LAKESIDE PKWY
SUITE 170
TUCKER GA, 30084-5884, US
Phone (770) 938-1757
Fax (770) 938-1759
Business Location
PO BOX 13003
ATLANTA GA, 30324-0003, US
Phone (770) 938-1757
Fax (770) 938-1759
Toxanomy
Taxonomy Code 363LA2100X
License State Georgia
License Number RN090063
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According to our database, Cheryl Elizabeth Willingham N.P. NPI is 1548587264, taxonomy code is 363LA2100X and license number is RN090063, license state is located at Georgia. Cheryl Elizabeth Willingham N.P. physically located at 1990 Lakeside Pkwy, Tucker GA, 30084-5884. NPI Number Cheryl Elizabeth Willingham N.P. has the Individual type.

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1548587264 NPI number is provided on an as is basis without warranty of any kind. 1548587264 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl Elizabeth Willingham N.P. are for informational purposes only.