Provider Demographics
NPI:1841210515
Name:AFRICK, CYNTHIA ZANE (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ZANE
Last Name:AFRICK
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:PO BOX 9788
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9788
Mailing Address - Country:US
Mailing Address - Phone:910-715-8700
Mailing Address - Fax:910-715-8761
Practice Address - Street 1:10 AVIEMORE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9700
Practice Address - Country:US
Practice Address - Phone:910-715-8700
Practice Address - Fax:910-715-8761
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077635207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2174285Medicaid
OH2174285Medicaid
OH0899301Medicare ID - Type Unspecified
OHG52494Medicare UPIN
OH0899304Medicare ID - Type Unspecified
OH0899302Medicare ID - Type Unspecified
OHH227930Medicare PIN
OH0899305Medicare ID - Type Unspecified