Provider Demographics
NPI:1184717035
Name:SINCLAIR, COURTNEY EVANS (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:EVANS
Last Name:SINCLAIR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:310 PAPER TRAIL WAY
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115
Mailing Address - Country:US
Mailing Address - Phone:770-720-4100
Mailing Address - Fax:770-720-4141
Practice Address - Street 1:310 PAPER TRAIL WAY
Practice Address - Street 2:SUITE 109
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115
Practice Address - Country:US
Practice Address - Phone:770-720-4100
Practice Address - Fax:770-720-4141
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-08-29
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Provider Licenses
StateLicense IDTaxonomies
GA045208207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G71136Medicare UPIN