Cheyney, Jason M

Cheyney, Jason M is an individual health care provider with primary practice located at 308 Coliseum Dr Suite 200, Macon GA 31217-3876. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cheyney, Jason M can be contacted via phone (478) 742-2180.

Contact Information

Primary practice address
308 Coliseum Dr Suite 200 Macon GA 31217-3876
Phone: (478) 742-2180
Fax: (478) 745-2623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004145 Georgia

Profile Details

NPI number 1942207840
LBN Legal business name Cheyney, Jason M
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942207840 NPPES
Georgia MEDICAID 374935790A

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