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NPI Code Detail

MEDICARE: CHERYL GUTHRIE PA-C

MEDICARE: CHERYL GUTHRIE PA-C
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
1363A00000XPhysician AssistantPA.836AL

General Provider Information

NPI Number : 1669897708
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL GUTHRIE PA-C
Provider Business Mailing Address
First Line : 2900 CAHABA RD
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-1937
Country : US
Telephone Number : 205-877-9773
Fax Number :
Provider Business Practice Location Address
First Line : 2900 CAHABA RD
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-1937
Country : US
Telephone Number : 205-877-9773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2014
Last Update Date : 02/26/2014

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Directions to “ CHERYL GUTHRIE PA-C” Practice Location

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