STACIA LYNN CHEADLE

MATTHEWS, NC
NPI1891044574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004419)
Enumeration Date2012-09-10
Last Update Date2020-10-28
Business Address
STACIA LYNN CHEADLE PA-C
9600 E INDEPENDENCE BLVD
MATTHEWS, NC 28105
Phone number: 704-815-5624
Mailing Address
STACIA LYNN CHEADLE PA-C
PO BOX 601843
CHARLOTTE, NC 28260-1843
Phone number: