Provider Demographics
NPI:1861850596
Name:POORE, CINDY LOU
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LOU
Last Name:POORE
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 1:2285 KNOB CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:HENRY
Mailing Address - State:VA
Mailing Address - Zip Code:24102-3460
Mailing Address - Country:US
Mailing Address - Phone:540-365-9907
Mailing Address - Fax:540-365-0511
Practice Address - Street 1:2285 KNOB CHURCH RD
Practice Address - Street 2:
Practice Address - City:HENRY
Practice Address - State:VA
Practice Address - Zip Code:24102-3460
Practice Address - Country:US
Practice Address - Phone:540-365-9907
Practice Address - Fax:540-365-0511
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management