Dr. Cheryl Lynn Cushman
Periodontist
2168 Skyview Dr
Lithia Springs
, Georgia 30122-2638
Dr. Cheryl Lynn Cushman
Periodontist
2168 Skyview Dr
Lithia Springs
, Georgia 30122-2638
(770) 739-5097
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Cheryl Lynn Cushman
- 2168 Skyview Dr
- Lithia Springs, GA
- Zip : 30122-2638
- Phone : (770) 739-5097
Second Address
- Dr. Cheryl Lynn Cushman
- 2168 Skyview Dr
- Lithia Springs, GA
- Zip : 30122-2638
- Phone : (770) 739-5097
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Is Dr. Cheryl Lynn Cushman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 10752 | GA |
National Provider Identifier
| NPI | 1013195882 |
|---|---|
| Provider Name | Dr. Cheryl Lynn Cushman |
| First Address | Lithia Springs, GA 30122-2638 |
| Second Address | Lithia Springs, GA 30122-2638 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 19NCBVF | (02) | GA |
| BW2164426 | DEA (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.