Provider Demographics
NPI:1881180297
Name:CHEEKS, TONYA
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:CHEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MIDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-1865
Mailing Address - Country:US
Mailing Address - Phone:864-787-7492
Mailing Address - Fax:888-820-3989
Practice Address - Street 1:20 S POINSETT HWY STE C
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690
Practice Address - Country:US
Practice Address - Phone:864-434-6256
Practice Address - Fax:888-820-3989
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide