Richardson, Cynthia D

Richardson, Cynthia D is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Richardson, Cynthia D can be contacted via phone (803) 774-1788.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Phone: (803) 774-1788
Fax: (803) 774-9113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3605 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3605 South Carolina

Profile Details

NPI number 1184884702
LBN Legal business name Richardson, Cynthia D
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Dec 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184884702 NPPES
South Carolina MEDICAID 372048
South Carolina Other H48242

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