Provider Demographics
NPI:1689833683
Name:FRAZIER, CHERISE L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERISE
Middle Name:L
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHERISE
Other - Middle Name:L
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2015 UPPERGATE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-778-2400
Mailing Address - Fax:404-727-1981
Practice Address - Street 1:2015 UPPERGATE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-778-2400
Practice Address - Fax:404-727-1981
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0615122084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology