Provider Demographics
NPI:1518020411
Name:CHEAVES, ANNA MILLER (MSEDECE)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MILLER
Last Name:CHEAVES
Suffix:
Gender:F
Credentials:MSEDECE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2862
Mailing Address - Country:US
Mailing Address - Phone:423-883-6119
Mailing Address - Fax:706-965-8139
Practice Address - Street 1:96 HAVEN DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2862
Practice Address - Country:US
Practice Address - Phone:423-883-6119
Practice Address - Fax:706-965-8139
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator