Provider Demographics
NPI:1457349227
Name:SEXTON, CHERYL D (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:D
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:DUCHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 602120
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2120
Mailing Address - Country:US
Mailing Address - Phone:704-436-6521
Mailing Address - Fax:704-436-9505
Practice Address - Street 1:8560 COOK ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:NC
Practice Address - Zip Code:28124-7686
Practice Address - Country:US
Practice Address - Phone:704-436-6521
Practice Address - Fax:704-436-9505
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9701590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891218HMedicaid
NC891218HMedicaid
NC2276056EMedicare PIN