Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 2019-01403 | NC |
N | 207T00000X | Neurosurgeon | 36597 | SC |
NPI | 1093976995 |
---|---|
Provider Name | Dr. Joseph Thomas Cheatle |
First Address | Charlotte, NC 28204-3109 |
Second Address | Charlotte, NC 28204-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 22/12/2020 |