| Doctor Name: | MR. WILLIAM CHEATAM |
| NPI Number: | 1598144065 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 2678 |
| Business Practice Address: | 3001 Gordon Hwy Grovetown, GA - 308133808 |
| Business Phone Number: | 7068554748 |
| Business Fax Number: | 7068554991 |
| Mailing Address: | 645 Simonton Crest Dr, LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300453512 |
| Phone Number: | 7703776580 |
| Fax Number: | 7068554991 |
| NPI Enumeration Date: | 05/29/2015 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |