Provider Demographics
NPI:1295378982
Name:CHEEMA, JAMSHAID MUKHTAR (PA)
Entity Type:Individual
Prefix:
First Name:JAMSHAID
Middle Name:MUKHTAR
Last Name:CHEEMA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TURNING POINT CARE CENTER
Mailing Address - Street 2:3015 VETERANS PKWAY S
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31788-2397
Mailing Address - Country:US
Mailing Address - Phone:229-873-6479
Mailing Address - Fax:
Practice Address - Street 1:TURNING POINT CARE CENTER
Practice Address - Street 2:3015 VETERANS PKWAY S
Practice Address - City:MOULTRIE
Practice Address - State:GA
Practice Address - Zip Code:31788-2397
Practice Address - Country:US
Practice Address - Phone:229-873-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-24
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9610363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant