Provider Demographics
NPI:1790016624
Name:CHEROKEE INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:CHEROKEE INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAMATSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-238-0301
Mailing Address - Street 1:1192 BUCKHEAD XING
Mailing Address - Street 2:SUITE C
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-4254
Mailing Address - Country:US
Mailing Address - Phone:678-238-0301
Mailing Address - Fax:678-238-0323
Practice Address - Street 1:1192 BUCKHEAD XING
Practice Address - Street 2:SUITE C
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-4254
Practice Address - Country:US
Practice Address - Phone:678-238-0301
Practice Address - Fax:678-238-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA3704483OtherSTATE BUSINESS LICENSE