Provider Demographics
NPI:1063612513
Name:BELTON, CYNTHIA (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:BELTON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 CARVING TRL
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-8534
Mailing Address - Country:US
Mailing Address - Phone:803-783-1923
Mailing Address - Fax:
Practice Address - Street 1:2408 CARVING TRL
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:SC
Practice Address - Zip Code:29061-8534
Practice Address - Country:US
Practice Address - Phone:803-783-1923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC56881163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse