Provider Demographics
NPI:1427301043
Name:PIELA, CYNTHIA G (RPH)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:G
Last Name:PIELA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 ARBORWOOD RDG
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:GA
Mailing Address - Zip Code:30621-1530
Mailing Address - Country:US
Mailing Address - Phone:706-714-7213
Mailing Address - Fax:
Practice Address - Street 1:115 E ROBERT TOOMBS AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:GA
Practice Address - Zip Code:30673-1737
Practice Address - Country:US
Practice Address - Phone:706-678-2260
Practice Address - Fax:706-678-4545
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014799183500000X
FLPS22203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist