Basic Information
Provider Information
NPI: 1568606614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: CHERIE
MiddleName: CERELLA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CROSS
OtherFirstName: CHERIE
OtherMiddleName: CERELLA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: EMORY HEALTHCARE 1365 CLIFTON RD
Address2:  
City: ATLANTA
State: GA
PostalCode: 303220001
CountryCode: US
TelephoneNumber: 4047783401
FaxNumber:  
Practice Location
Address1: EMORY HEALTHCARE 1365 CLIFTON RD
Address2:  
City: ATLANTA
State: GA
PostalCode: 303220001
CountryCode: US
TelephoneNumber: 4047783401
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/20/2009
LastUpdateDate: 08/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X070317GAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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