Provider Demographics
NPI:1174013353
Name:EDMUNDS, CYNTHIA BARTLETT (DACM, LAC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:BARTLETT
Last Name:EDMUNDS
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:LOUISE
Other - Last Name:BARTLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1916 S GLENBURNIE RD STE 9
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5226
Mailing Address - Country:US
Mailing Address - Phone:252-497-2975
Mailing Address - Fax:
Practice Address - Street 1:1916 S GLENBURNIE RD STE 9
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5226
Practice Address - Country:US
Practice Address - Phone:252-497-2975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAC-878171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist