Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5995813-1205 | UT |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 53114 | GA |
NPI | 1922034537 |
---|---|
Provider Name | David Matthew Cearley |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 29/05/2019 |