Provider Demographics
NPI:1871746800
Name:GIVENS, CHERYL DENISE (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:GIVENS
Suffix:
Gender:F
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:PO BOX 746725
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6725
Mailing Address - Country:US
Mailing Address - Phone:601-733-7017
Mailing Address - Fax:601-533-7016
Practice Address - Street 1:3889 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-6634
Practice Address - Country:US
Practice Address - Phone:901-401-7150
Practice Address - Fax:901-221-2284
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-015336207R00000X
ARE-10173207R00000X
TN55114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine