Provider Demographics
NPI:1497811970
Name:STOKES, CYNTHIA DYNIER (MS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DYNIER
Last Name:STOKES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HUNTERS XING
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-8036
Mailing Address - Country:US
Mailing Address - Phone:770-385-9476
Mailing Address - Fax:770-385-9476
Practice Address - Street 1:105 HUNTERS XING
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-8036
Practice Address - Country:US
Practice Address - Phone:770-385-9476
Practice Address - Fax:770-385-9476
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator