Tolliver, Cheryl Gatewood
Tolliver, Cheryl Gatewood is an individual health care provider with primary practice located at 2225 Us Highway 41 N , Tifton GA 31794-2749. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tolliver, Cheryl Gatewood can be contacted via phone (229) 391-4100.Contact Information
Primary practice address
2225 Us Highway 41 N
Tifton GA 31794-2749
Phone: (229) 391-4100
Fax: (229) 391-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 053040 | Georgia |
Profile Details
| NPI number | 1962513515 |
|---|---|
| LBN Legal business name | Tolliver, Cheryl Gatewood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962513515 | NPPES |
| Georgia | Other | 102002 | BCBS - EAPC |
| Georgia | MEDICAID | 752710901A | BCBS - EAPC |
| Georgia | Other | 37BBGMH | BCBS - EAPC |
| Georgia | Other | 52002201 | BCBS - EAPC |
| Georgia | Other | 7688493 | BCBS - EAPC |
| Georgia | Other | P00051346 | BCBS - EAPC |
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