Provider Demographics
NPI:1689016552
Name:CRATIC, CYNTHIA DUNBAR
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DUNBAR
Last Name:CRATIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 STOCKHOLM DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-9043
Mailing Address - Country:US
Mailing Address - Phone:706-496-2281
Mailing Address - Fax:706-496-2284
Practice Address - Street 1:3719 STOCKHOLM DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-9043
Practice Address - Country:US
Practice Address - Phone:706-496-2281
Practice Address - Fax:706-496-2284
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator