Provider Demographics
NPI:1164304481
Name:CHERAMIE, TOMMY JAMES JR (PA)
Entity type:Individual
Prefix:MR
First Name:TOMMY
Middle Name:JAMES
Last Name:CHERAMIE
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:219 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:LAROSE
Mailing Address - State:LA
Mailing Address - Zip Code:70373-2143
Mailing Address - Country:US
Mailing Address - Phone:985-278-7513
Mailing Address - Fax:
Practice Address - Street 1:1125 MARGUERITE ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1855
Practice Address - Country:US
Practice Address - Phone:985-384-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant