Provider Demographics
NPI:1922261106
Name:JONATHAN A. CHEEK, M.D.
Entity Type:Organization
Organization Name:JONATHAN A. CHEEK, M.D.
Other - Org Name:CHEROKEE PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHEEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-479-1985
Mailing Address - Street 1:PO BOX 1269
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30169-1269
Mailing Address - Country:US
Mailing Address - Phone:770-479-1985
Mailing Address - Fax:770-479-4839
Practice Address - Street 1:134 RIVERSTONE TER
Practice Address - Street 2:SUITE 103
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-1706
Practice Address - Country:US
Practice Address - Phone:770-479-1985
Practice Address - Fax:770-479-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty