Provider Demographics
NPI:1184640898
Name:CHEEKS, EDDIE RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:EDDIE
Middle Name:RAYMOND
Last Name:CHEEKS
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 1:85 CONIFER CIR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-4508
Mailing Address - Country:US
Mailing Address - Phone:706-736-2737
Mailing Address - Fax:706-731-9047
Practice Address - Street 1:2803 WRIGHTSBORO RD
Practice Address - Street 2:SUITE 45
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-3913
Practice Address - Country:US
Practice Address - Phone:706-736-2737
Practice Address - Fax:706-731-9047
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA21661207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00203211BMedicaid
GAD29118Medicare UPIN