Healthcare Provider Details

I. General information

NPI: 1073199097
Provider Name (Legal Business Name): ANDREW MICHAEL CHERAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL PARK DR STE 400
CONCORD NC
28025-0939
US

IV. Provider business mailing address

200 MEDICAL PARK DR STE 400
CONCORD NC
28025-0939
US

V. Phone/Fax

Practice location:
  • Phone: 704-786-1108
  • Fax: 704-786-1121
Mailing address:
  • Phone: 704-786-1108
  • Fax: 704-786-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2026-02887
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberV2981
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: