MEDICARE: COLLEEN E. CHERRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	71109	GA

General Provider Information

NPI Number	:	1700103454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN E. CHERRY MD

Provider Business Mailing Address
First Line	:	5780 PEACHTREE DUNWOODY RD STE 300
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1513
Country	:	US
Telephone Number	:	404-303-8035
Fax Number	:	770-752-0845

Provider Business Practice Location Address
First Line	:	3905 BROOKSIDE PKWY STE 104
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-4457
Country	:	US
Telephone Number	:	770-752-0824
Fax Number	:	770-752-0845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	11/01/2024

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