Provider Demographics
NPI:1871686196
Name:LOMAX, CYNTHIA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MARIE
Last Name:LOMAX
Suffix:
Gender:F
Credentials:DC
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 897
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-0897
Mailing Address - Country:US
Mailing Address - Phone:770-943-6262
Mailing Address - Fax:678-567-5601
Practice Address - Street 1:5447 POWDER SPRINGS DALLAS RD SW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-9103
Practice Address - Country:US
Practice Address - Phone:770-943-6262
Practice Address - Fax:678-567-5601
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
352CH2KMedicare ID - Type Unspecified