Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101245347 | VA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 41861 | KY |
NPI | 1225245228 |
---|---|
Provider Name | Dr. Seth Cheatham |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 02/03/2010 |