Provider Demographics
NPI:1245399948
Name:OATES-OYAIFO, CHERIE (PA)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:OATES-OYAIFO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:
Other - Last Name:OYAIFO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2959 SHARPSBURG MCCULLUM RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2297
Mailing Address - Country:US
Mailing Address - Phone:770-502-2040
Mailing Address - Fax:
Practice Address - Street 1:2959 SHARPSBURG MCCULLUM RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2297
Practice Address - Country:US
Practice Address - Phone:770-502-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8125363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant