Provider Demographics
NPI:1922735703
Name:VARGAS- PEREZ, CINTHIA YAHAIRA (DC)
Entity Type:Individual
Prefix:
First Name:CINTHIA
Middle Name:YAHAIRA
Last Name:VARGAS- PEREZ
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 1:4355 ARMOUR RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5203
Mailing Address - Country:US
Mailing Address - Phone:706-489-7228
Mailing Address - Fax:
Practice Address - Street 1:4355 ARMOUR RD UNIT A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5203
Practice Address - Country:US
Practice Address - Phone:706-489-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor