Provider Demographics
NPI:1922399203
Name:GILLIKIN, CYNTHIA LEE (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LEE
Last Name:GILLIKIN
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Gender:F
Credentials:MD PHD
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Mailing Address - Street 1:8800 ROSWELL RD
Mailing Address - Street 2:SUITE A-135
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-1826
Mailing Address - Country:US
Mailing Address - Phone:404-682-1923
Mailing Address - Fax:617-326-3783
Practice Address - Street 1:8800 ROSWELL RD
Practice Address - Street 2:SUITE A-135
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-1826
Practice Address - Country:US
Practice Address - Phone:404-682-1923
Practice Address - Fax:617-326-3783
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
GA701162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry