Provider Demographics
NPI:1972848703
Name:CHEROKEE HILLS FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:CHEROKEE HILLS FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-456-0001
Mailing Address - Street 1:2028 MAHANEY AVE
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-5783
Mailing Address - Country:US
Mailing Address - Phone:918-456-0001
Mailing Address - Fax:918-456-6383
Practice Address - Street 1:2028 MAHANEY AVE
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-5783
Practice Address - Country:US
Practice Address - Phone:918-456-0001
Practice Address - Fax:918-456-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty