Provider Demographics
NPI:1063408854
Name:BUCHWALTER, CHERYL L (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:BUCHWALTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:35 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3139
Mailing Address - Country:US
Mailing Address - Phone:706-835-2222
Mailing Address - Fax:706-835-2221
Practice Address - Street 1:19 DOCTORS WAY
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-1117
Practice Address - Country:US
Practice Address - Phone:706-835-2222
Practice Address - Fax:706-835-2221
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA104401207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2169451Medicaid
OHH13182Medicare UPIN
OH2169451Medicaid