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DR. BRYAN D. CHEEVER M.D.
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1063459220
Individual Registrant:DR. BRYAN D. CHEEVER M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
800 GI MADDOX PKWY CHATSWORTH, GA 30705-4008 US
Tel: 706-686-5015 Fax: 706-626-8063
Tel: 706-686-5015 Fax: 706-626-8063
Contact information for business:
800 GI MADDOX PKWY CHATSWORTH, GA 30705-4008 US
Tel: 706-686-5015 Fax: 706-626-8063
Tel: 706-686-5015 Fax: 706-626-8063
Registration Information:
NPI: 1063459220
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | GA | 034120 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 034120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000456145G | GA | 05 | |
| 000456145I | GA | 05 | |
| RAILROAD MEDICARE | P00322025 | GA | 01 |
