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Individual

CYNTHIA J WESTBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
930 S 1ST ST, JESUP, GA 31545-0202
(912) 385-2702
(912) 385-2703
Mailing address
PO BOX 1097, JESUP, GA 31598-1097
(912) 385-2702
(912) 385-2703

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001923
GA
207R00000X
Internal Medicine Physician
Primary
062089
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111075034F
GA
Enumeration date
09/13/2007
Last updated
08/03/2011
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