Provider Demographics
NPI:1528087376
Name:ZEIGLER, CYNTHIA ROURK (CFNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROURK
Last Name:ZEIGLER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7320
Mailing Address - Fax:803-296-7330
Practice Address - Street 1:115 N SUMTER ST STE 115
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4968
Practice Address - Country:US
Practice Address - Phone:803-774-7546
Practice Address - Fax:803-774-9455
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN1303363L00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC20007233OtherSELECT HLTH
SC500025199OtherRRMC
SCNP0494Medicaid
SC20007233OtherSELECT HLTH
SCNP0494Medicaid