Provider Demographics
NPI:1154612950
Name:CHEHARDY, SONYA WALKER (DO)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:WALKER
Last Name:CHEHARDY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 405827
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-5800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:790 W POPLAR AVE
Practice Address - Street 2:STE #1
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2544
Practice Address - Country:US
Practice Address - Phone:901-853-9700
Practice Address - Fax:901-853-9996
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2543207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine