Provider Demographics
NPI:1902085939
Name:COURTNEY E SINCLAIR MD PC
Entity type:Organization
Organization Name:COURTNEY E SINCLAIR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-720-4100
Mailing Address - Street 1:310 PAPER TRAIL WAY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-5203
Mailing Address - Country:US
Mailing Address - Phone:770-720-4100
Mailing Address - Fax:770-720-4141
Practice Address - Street 1:310 PAPER TRAIL WAY
Practice Address - Street 2:SUITE 109
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-5203
Practice Address - Country:US
Practice Address - Phone:770-720-4100
Practice Address - Fax:770-720-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty