Healthcare Provider Details

I. General information

NPI: 1457576456
Provider Name (Legal Business Name): CHERYL ASHLEY TROWELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL ASHLEY JONES M.D.

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 IVEY RD NW STE 1201
ACWORTH GA
30101-4112
US

IV. Provider business mailing address

4900 IVEY RD NW STE 1201
ACWORTH GA
30101-4112
US

V. Phone/Fax

Practice location:
  • Phone: 788-885-1816
  • Fax: 678-401-8744
Mailing address:
  • Phone: 404-556-8540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number001968
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: