Provider Demographics
NPI:1922099571
Name:NORRIS, CYNTHIA MAE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MAE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:413 OWEN DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3411
Mailing Address - Country:US
Mailing Address - Phone:910-323-9111
Mailing Address - Fax:910-484-2535
Practice Address - Street 1:413 OWEN DR
Practice Address - Street 2:SUITE 201
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3411
Practice Address - Country:US
Practice Address - Phone:910-323-9111
Practice Address - Fax:910-484-2535
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9501621207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8963226Medicaid
NC8963226Medicaid
NCG17959Medicare UPIN