Provider Demographics
NPI:1871268268
Name:CINEUS, ROSHEIKA MONIQUE
Entity Type:Individual
Prefix:MRS
First Name:ROSHEIKA
Middle Name:MONIQUE
Last Name:CINEUS
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 1:400 NORTHWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-7036
Mailing Address - Country:US
Mailing Address - Phone:252-267-1667
Mailing Address - Fax:
Practice Address - Street 1:400 NORTHWOOD DR NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-7036
Practice Address - Country:US
Practice Address - Phone:252-267-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program