Provider Demographics
NPI:1659532067
Name:COLVIN, CHERYL PERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:PERRY
Last Name:COLVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9461
Mailing Address - Street 2:FAYETTEVILLE
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9086
Mailing Address - Country:US
Mailing Address - Phone:910-709-0059
Mailing Address - Fax:
Practice Address - Street 1:3206 MELBA DR
Practice Address - Street 2:FAYETTEVILLE
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3389
Practice Address - Country:US
Practice Address - Phone:910-709-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01266207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine