Provider Demographics
NPI:1306341870
Name:WORTHY, CHARLITA CHEA (MD)
Entity type:Individual
Prefix:
First Name:CHARLITA
Middle Name:CHEA
Last Name:WORTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARLITA
Other - Middle Name:CHEA
Other - Last Name:LOCKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6059 RIVEROAK TER
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-4080
Mailing Address - Country:US
Mailing Address - Phone:404-915-2920
Mailing Address - Fax:206-424-9510
Practice Address - Street 1:2715 PIPER DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-1103
Practice Address - Country:US
Practice Address - Phone:209-445-3636
Practice Address - Fax:206-424-9510
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89251207RE0101X
GA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism