Stephenson, Cynthia

Stephenson, Cynthia is an individual health care provider with primary practice located at 511 Bellevue Ave Box 1347, Dublin GA 31021-5331. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Stephenson, Cynthia can be contacted via phone (404) 218-5074.

Contact Information

Primary practice address
511 Bellevue Ave Box 1347 Dublin GA 31021-5331
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 58335 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 58335 Georgia

Profile Details

NPI number 1861419467
LBN Legal business name Stephenson, Cynthia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 11th, 2014 - about 12 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 1861419467 NPPES
Virginia MEDICAID 010113784
Virginia MEDICAID 010111676
Virginia MEDICAID 010220017
Virginia MEDICAID 010111731

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