Individual
DR. CYNTHIA L GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5083
(478) 825-8954
(478) 825-0281
Mailing address
555 BLUEBIRD BLVD, P. O. BOX 894, 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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00908729A
—
GA
01
—
080182880
RAIL ROAD MEDICARE
GA
Enumeration date
03/08/2006
Last updated
11/14/2009
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