Provider Demographics
NPI:1073574554
Name:CHEEK, JONATHAN ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ARTHUR
Last Name:CHEEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 REINHARDT COLLEGE PKWY
Mailing Address - Street 2:BLDG 100 SUITE 100
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114
Mailing Address - Country:US
Mailing Address - Phone:770-479-1985
Mailing Address - Fax:770-479-4839
Practice Address - Street 1:134 RIVERSTONE TERRACE
Practice Address - Street 2:SUITE 103
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-1705
Practice Address - Country:US
Practice Address - Phone:770-479-1985
Practice Address - Fax:770-479-4839
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027700208000000X
CAG50918208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000306765AMedicaid