Richardson, Cynthia J

Richardson, Cynthia J is an individual health care provider with primary practice located at 65 Old Jackson Rd , Mcdonough GA 30252-3095. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richardson, Cynthia J can be contacted via phone (678) 490-0080.

Contact Information

Primary practice address
65 Old Jackson Rd Mcdonough GA 30252-3095
Phone: (678) 490-0080
Fax: (678) 490-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN083527 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN083527 Georgia

Profile Details

NPI number 1659533875
LBN Legal business name Richardson, Cynthia J
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2008
Last updated Sep 27th, 2011 - about 14 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 1659533875 NPPES
Georgia MEDICAID 821621557F

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