Organization
CYNTHIA L. GILES, D.O., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA L GILES D.O. (OWNER)
(478) 825-8954
Entity
Organization
Contact information
Practice address
555 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5083
(478) 825-8954
(478) 825-0281
Mailing address
555 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5083
(478) 825-8954
(478) 825-0281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048778
GA
363LF0000X
Family Nurse Practitioner
RN173610 NP
GA
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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