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
Phone: (404) 218-5074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861419467 | NPPES |
| Virginia | MEDICAID | 010113784 | |
| Virginia | MEDICAID | 010111676 | |
| Virginia | MEDICAID | 010220017 | |
| Virginia | MEDICAID | 010111731 |
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