Provider Demographics
NPI:1992512198
Name:MCCLOUD, CINDY D
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:D
Last Name:MCCLOUD
Suffix:
Gender:F
Credentials:
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 33
Mailing Address - Street 2:
Mailing Address - City:BARWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31720-0033
Mailing Address - Country:US
Mailing Address - Phone:216-789-7683
Mailing Address - Fax:
Practice Address - Street 1:2018 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BARWICK
Practice Address - State:GA
Practice Address - Zip Code:31720-2002
Practice Address - Country:US
Practice Address - Phone:216-789-7683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor