Provider Demographics
NPI:1821057043
Name:NAFARRETE, CYNTHIA APOSTOL (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:APOSTOL
Last Name:NAFARRETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 WINDMILL PKWY
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6666
Mailing Address - Country:US
Mailing Address - Phone:706-855-7414
Mailing Address - Fax:706-364-0554
Practice Address - Street 1:1722 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-5737
Practice Address - Country:US
Practice Address - Phone:706-855-7414
Practice Address - Fax:706-364-0554
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA801551791AMedicaid
GA161648019OtherEMPLOYER IDENTIFICATION N
SCG46702Medicaid