MEDICARE: DR. VINCENT KILMER CHEEK M.D.

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	207Q00000X	Family Medicine Physician	28404	NC
2	207Q00000X	Family Medicine Physician	0101041661	VA
3	207P00000X	Emergency Medicine Physician	0101041661	VA
4	207P00000X	Emergency Medicine Physician	28404	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28404	OTHER	NC	MEDICAL BOARD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205804986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINCENT KILMER CHEEK M.D.

Provider Business Mailing Address
First Line	:	2000 PERIMETER PARK DR STE 200
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8442
Country	:	US
Telephone Number	:	984-215-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N MAIN ST
Second Line	:
City	:	KENANSVILLE
State	:	NC
Zip	:	28349-8801
Country	:	US
Telephone Number	:	910-296-2774
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/07/2023

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