Provider Demographics
NPI:1346737699
Name:CHEEK, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CHEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 DECATUR PIKE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-4932
Mailing Address - Country:US
Mailing Address - Phone:423-745-1495
Mailing Address - Fax:423-745-1389
Practice Address - Street 1:1815 DECATUR PIKE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4932
Practice Address - Country:US
Practice Address - Phone:423-745-1495
Practice Address - Fax:423-745-1389
Is Sole Proprietor?:No
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9160OtherPHARMACIST LICENSE
GA18526OtherPHARMACIST LICENSE