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Individual

DR. CYNTHIA WITT SESSUMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4951
Mailing address
7590 PLEASANTVILLE WAY, GROVETOWN, GA 30813-1218
(706) 868-5893

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
001904
GA
207P00000X
Emergency Medicine Physician
0102202354
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001904
RESIDENCY TRAINING PERMIT
GA
01
114228
BCBS VA
VA
05
1831301654
VA
05
3810016159
WV
Enumeration date
05/04/2007
Last updated
03/23/2011
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