Shumpert, Cynthia R
Shumpert, Cynthia R is an individual health care provider with primary practice located at 15 Rivebend Drive Ste 100, Rome GA 30161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shumpert, Cynthia R can be contacted via phone (706) 291-0884.Contact Information
Primary practice address
15 Rivebend Drive Ste 100
Rome GA 30161
Phone: (706) 291-0884
Fax: (706) 235-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 029782 | Georgia |
Profile Details
| NPI number | 1558348300 |
|---|---|
| LBN Legal business name | Shumpert, Cynthia R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jun 16th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558348300 | NPPES |
| Georgia | MEDICAID | 000374778H |
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