Provider Demographics
NPI:1447776471
Name:SINNEMON, CAYLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAYLA
Middle Name:
Last Name:SINNEMON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 TOMAHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-7510
Mailing Address - Country:US
Mailing Address - Phone:678-278-5155
Mailing Address - Fax:
Practice Address - Street 1:100 GLENDA TRCE
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-3863
Practice Address - Country:US
Practice Address - Phone:770-502-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030062183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist