Cockrell, Cheryl Wonderly

Cockrell, Cheryl Wonderly is an individual health care provider with primary practice located at 1050 Eagles Landing Pkwy #302, Stockbridge GA 30281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Cockrell, Cheryl Wonderly can be contacted via phone (770) 474-0064.

Contact Information

Primary practice address
1050 Eagles Landing Pkwy #302 Stockbridge GA 30281
Phone: (770) 474-0064
Fax: (770) 474-2998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 037424 Georgia

Profile Details

NPI number 1023036803
LBN Legal business name Cockrell, Cheryl Wonderly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - 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 1023036803 NPPES
Georgia MEDICAID 05560788B

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