DR. CHENEY FENN WILSON


Address: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017
Phone: 7702923490

DR. CHENEY FENN WILSON (NPI# 1477972982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477972982
Entity Type Individual
Full Name DR. CHENEY FENN WILSON
Credential M.D.
Practice Address 460 Northside Cherokee Blvd Ste 100
Canton
GA 30115-8017
Mailing Address 4301 W Markham St
Little Rock
AR 72205-7101
Practice Telephone 7702923490
Practice Fax Number 7707215615
Mailing Telephone 5016866627
Enumeration Date 2014-04-11
Last Update Date 2019-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
82615 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 460 NORTHSIDE CHEROKEE BLVD STE 100
City CANTON
State GA
Zip Code 30115-8017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134188105 Eddy Toussaint Physician Assistant 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 2006-03-20
1003388679 Holly Allen Nurse Practitioner 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 2018-12-20
1154504082 Edward Park Kang Surgery 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 2007-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760417893 Neponset Valley Surgical PC Surgery 800 Washington Street, Canton, MA 02021-2562 2006-07-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1902423387 Center for Vein Restoration Ga Corp Surgery 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 2020-07-01
1487133278 Usa Vascular Center of Decatur LLC Surgery 495 Winn Way Ste 230, Decatur, GA 30030-1736 2018-08-13
1841789914 Milner Vein and Vascular LLC Surgery 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 2018-05-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1689012205 Daniel Joseph Badia Surgery 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 2013-06-05
1740507425 Christopher Ray Ramos Surgery 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 2010-04-21
1184879678 Rockdale Vascular and Thoracic Surgery, LLC Surgery 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 2008-11-25
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1487819132 Yazan Duwayri Surgery Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 2008-07-22
Find all providers with the same taxonomy

Competitor

Search similar providers

City CANTON
Zip Code 30115

Improve Information

Please comment or provide details below to improve the information on DR. CHENEY FENN WILSON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches