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Dr. Cheney Fenn Wilson, MD
Vascular Surgery Physician in Canton, Georgia
NPI 1477972982

Cheney Fenn Wilson is a Vascular Surgery Physician based in Little Rock, GA and is specialized in Vascular Surgery. Cheney Fenn Wilson practices in Canton, GA and has the professional credentials of MD. The NPI Number for Cheney Fenn Wilson is 1477972982 and holds a License No. (Georgia).

The current practice location address for Cheney Fenn Wilson is 460 Northside Cherokee Blvd Ste 100, Canton, GA and can be reached out via phone at 770-292-3490 and via fax at 770-721-5615. You can also correspond with Cheney Fenn Wilson through the mailing address at 4301 W MARKHAM ST, LITTLE ROCK, AR - 72205-7101 (mailing address contact number: 501-686-6627).

Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA, 72205-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477972982
Provider Name
Cheney Fenn Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
460 Northside Cherokee Blvd Ste 100, Canton, GA, 72205-7101
Phone Number
770-292-3490
Fax Number
770-721-5615
Provider Enumeration Date
04/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
460 Northside Cherokee Blvd Ste 100
City
Canton
State
Georgia
Zip
30115-8017
Phone Number
770-292-3490
Fax Number
770-721-5615
person
Provider Business Mailing Address Details
Address
4301 W Markham St
City
Little Rock
State
Arkansas
Zip
72205-7101
Phone Number
501-686-6627
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
82615 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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