Provider Demographics
NPI:1528164092
Name:CHEEKS, CURTIS JR (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:CHEEKS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SEVEN HILLS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0810
Mailing Address - Country:US
Mailing Address - Phone:678-574-3000
Mailing Address - Fax:678-574-3001
Practice Address - Street 1:51 SEVEN HILLS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-0810
Practice Address - Country:US
Practice Address - Phone:678-574-3000
Practice Address - Fax:678-574-3001
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051126207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA353330475JMedicaid
GA353330475CMedicaid
GA353330475JMedicaid