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Contact Information

MARK P CHELTENHAM, MD
628 DODDINGTON DR
ROLESVILLE, NC27571-9700
 Phone: 919-761-8693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARK P CHELTENHAM · (Male)

NPI # 1114027588
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2007-00205
  • PA License # MD425741
  • NC Medicaid 5911546
  • Other 58606 BOARD CERTIFICATION ABPN
  • NC Other 2007-00205 STATE LICENSE
  • PA Other MD425741 LICENSE NUMBER
Hospital affiliation(s)
  • FORSYTH MEMORIAL HOSPITAL - (Acute Care)
    3333 SILAS CREEK PARKWAY
    WINSTON-SALEM, NC 27103
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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