| Cynthia Dorer, Inc. | |
|
225 Creekstone Rdg Suite 8 Woodstock GA 30188-3744 | |
| (770) 591-8000 | |
| (770) 591-7060 |
| Full Name | Cynthia Dorer, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 225 Creekstone Rdg, Woodstock, Georgia |
| Authorized Official Name and Position | Cynthia Elaine Dorer (OWNER) |
| Authorized Official Contact | 7705918000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Dorer, Inc. 225 Creekstone Rdg Suite 8 Woodstock GA 30188-3744 Ph: (770) 591-8000 | Cynthia Dorer, Inc. 225 Creekstone Rdg Suite 8 Woodstock GA 30188-3744 Ph: (770) 591-8000 |
| NPI Number | 1275897555 |
|---|---|
| Provider Enumeration Date | 07/01/2012 |
| Last Update Date | 07/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275897555 | NPI | - | NPPES |
| 483906800A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1579 (Georgia) | Primary |
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