Pender, Cianna
Pender, Cianna is an individual health care provider with primary practice located at 100 Mimosa Dr , Thomasville GA 31792-6676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Pender, Cianna can be contacted via phone (229) 226-8881.Contact Information
Primary practice address
100 Mimosa Dr
Thomasville GA 31792-6676
Phone: (229) 226-8881
Fax: (229) 584-5964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 76648 | Georgia |
Profile Details
| NPI number | 1376832261 |
|---|---|
| LBN Legal business name | Pender, Cianna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2011 |
| Last updated | Aug 5th, 2020 - about 5 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 | 1376832261 | NPPES |
| Louisiana | MEDICAID | 2151193 |
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