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NPI Code Detail

MEDICARE: DAVID M CHENEY M.D.

MEDICARE: DAVID M CHENEY 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
1208600000XSurgery Physician031574GA

General Provider Information

NPI Number : 1467423699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M CHENEY M.D.
Provider Business Mailing Address
First Line : PO BOX 2070
Second Line :
City : BAXLEY
State : GA
Zip : 31515-2070
Country : US
Telephone Number : 912-367-5486
Fax Number : 912-367-7491
Provider Business Practice Location Address
First Line : 195A E TOLLISON ST
Second Line :
City : BAXLEY
State : GA
Zip : 31513-0120
Country : US
Telephone Number : 912-367-5486
Fax Number : 912-367-7491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/08/2007

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