Provider Demographics
NPI:1144200148
Name:CINDEA, EUGENE CLARENCE (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:CLARENCE
Last Name:CINDEA
Suffix:
Gender:M
Credentials:MD
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 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-535-7445
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-535-3611
Practice Address - Fax:770-535-7092
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033053208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000702424EMedicaid
GA303960OtherWELLCARE
GA52023522OtherBCBS
GA812104OtherAETNA HMO
GA000702424BMedicaid
GA000702424DMedicaid
GA4250389OtherAETNA PPO
GA3206250OtherCIGNA
GA1200140OtherUNITED HEALTHCARE
GA303970OtherWELLCARE
GA10032965OtherAMERIGROUP
GA000702424CMedicaid
GA000702424AMedicaid
GA303971OtherWELLCARE
GA303972OtherWELLCARE
GA4250389OtherAETNA PPO
GA1200140OtherUNITED HEALTHCARE