Provider Demographics
NPI:1760789838
Name:HENDRIX, CYNTHIA JOYE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JOYE
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:JOYE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3862 GRADY SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:LAVONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30553-4142
Mailing Address - Country:US
Mailing Address - Phone:706-491-8970
Mailing Address - Fax:
Practice Address - Street 1:876 BIG A RD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-6008
Practice Address - Country:US
Practice Address - Phone:706-297-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist