Provider Demographics
NPI:1386878411
Name:COX, CINTHIA FABIOLA
Entity type:Individual
Prefix:MRS
First Name:CINTHIA
Middle Name:FABIOLA
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINTHIA
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 12938
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30703-7013
Mailing Address - Country:US
Mailing Address - Phone:706-602-7800
Mailing Address - Fax:706-879-5843
Practice Address - Street 1:1035 RED BUD RD NE STE 102
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-6010
Practice Address - Country:US
Practice Address - Phone:706-602-3104
Practice Address - Fax:706-602-3105
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN165142 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA809455092CMedicaid
GA4720OtherGROUP