Individual
CYNTHIA H SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 BRUSHY CREEK RD, EASLEY, SC 29642-8760
(864) 306-9661
(864) 306-8560
Mailing address
238 SAINT PAUL RD, EASLEY, SC 29642-8760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080173721
RAILROAD MEDICARE
SC
05
—
123967
—
SC
Enumeration date
04/12/2006
Last updated
10/18/2007
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