Individual
CYNTHIA R SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 RIVEBEND DRIVE, STE 100, ROME, GA 30161
(706) 291-0884
(706) 235-0405
Mailing address
15 RIVEBEND DRIVE, STE 100, ROME, GA 30161
(706) 291-0884
(706) 235-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029782
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374778H
—
GA
Enumeration date
12/22/2005
Last updated
06/16/2008
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