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Individual

CYNTHIA JOYCE GREATHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
760 AIRPORT RD, PANAMA CITY, FL 32405-4003
(850) 763-0260
(850) 769-0892
Mailing address
PO BOX 15759, PANAMA CITY, FL 32406-5759
(850) 763-0260
(850) 769-0892

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME92315
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271570800
FL
01
O1586
BLUE CROSS BLUE SHIELD
FL
01
P00184814
RAILROAD MEDICARE
FL
Enumeration date
07/24/2006
Last updated
06/24/2010
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