Provider Demographics
NPI:1275397309
Name:CINTEX INJURY CLINIC LLC
Entity Type:Organization
Organization Name:CINTEX INJURY CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-612-9883
Mailing Address - Street 1:401 MALL BLVD STE 202E
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4834
Mailing Address - Country:US
Mailing Address - Phone:912-600-1176
Mailing Address - Fax:912-600-1298
Practice Address - Street 1:401 MALL BLVD STE 202E
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4834
Practice Address - Country:US
Practice Address - Phone:912-600-1176
Practice Address - Fax:912-600-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty