Provider Demographics
NPI:1437380888
Name:CIELO, AILEEN GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:AILEEN GRACE
Middle Name:
Last Name:CIELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3833
Mailing Address - Country:US
Mailing Address - Phone:864-450-9036
Mailing Address - Fax:864-450-9038
Practice Address - Street 1:1440 N CHASE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-1850
Practice Address - Country:US
Practice Address - Phone:706-227-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC34346207RN0300X
GA71221207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty