Basic Information
| Provider Information | |||||||||
| NPI: | 1285680314 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AYMOND | ||||||||
| FirstName: | CHER | ||||||||
| MiddleName: | YAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1158 | ||||||||
| Address2: | |||||||||
| City: | ABBEVILLE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705111158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3378920630 | ||||||||
| FaxNumber: | 3378930403 | ||||||||
| Practice Location | |||||||||
| Address1: | 207 MILTON RD | ||||||||
| Address2: | |||||||||
| City: | MAURICE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705554448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3378989449 | ||||||||
| FaxNumber: | 3378989556 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 01/05/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 026640 | LA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00980764 | 01 | LA | RAILROAD | OTHER | 1420085 | 05 | LA | MEDICAID |