Provider Demographics
NPI:1609588334
Name:MACFARLANE, CYNTHIA (DC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 CEDARCREST RD STE 111
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-8201
Mailing Address - Country:US
Mailing Address - Phone:770-966-2238
Mailing Address - Fax:
Practice Address - Street 1:1305 CEDARCREST RD STE 111
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-8201
Practice Address - Country:US
Practice Address - Phone:770-966-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACHIRO10858OtherSTATE OF GEORGIA