Provider Demographics
NPI:1598487274
Name:SINSEL, GENNA GAIL (CSFA)
Entity Type:Individual
Prefix:
First Name:GENNA
Middle Name:GAIL
Last Name:SINSEL
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1182 CRESTBROOK DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-1562
Mailing Address - Country:US
Mailing Address - Phone:404-683-3458
Mailing Address - Fax:
Practice Address - Street 1:183 MYSTIC PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2520
Practice Address - Country:US
Practice Address - Phone:470-851-1413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant