Provider Demographics
NPI:1427554021
Name:SCHNEIDER, CHERI M (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1805 PARKE PLAZA CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3646
Mailing Address - Country:US
Mailing Address - Phone:770-469-7000
Mailing Address - Fax:770-879-0436
Practice Address - Street 1:1805 PARKE PLAZA CIR STE 101
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3646
Practice Address - Country:US
Practice Address - Phone:770-469-7000
Practice Address - Fax:770-879-0436
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA36868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA36868OtherSTATE LICENSE
AM2916611OtherDEA