Provider Demographics
NPI:1871675496
Name:CHIARIELLO, SHERYL CABALZA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:CABALZA
Last Name:CHIARIELLO
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:790 CLEMONT DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3633
Mailing Address - Country:US
Mailing Address - Phone:770-845-4401
Mailing Address - Fax:
Practice Address - Street 1:5665 NEW NORTHSIDE DR STE 320
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5834
Practice Address - Country:US
Practice Address - Phone:770-874-6873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA004023363A00000X, 367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant