Provider Demographics
NPI:1215945050
Name:YOUREE, CYNTHIA C (MD)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:C
Last Name:YOUREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:KAYE
Other - Last Name:CATLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5223 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5175
Mailing Address - Country:US
Mailing Address - Phone:615-587-2749
Mailing Address - Fax:615-370-1289
Practice Address - Street 1:5223 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5175
Practice Address - Country:US
Practice Address - Phone:615-587-2749
Practice Address - Fax:615-370-1289
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD156162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TND93133Medicare UPIN