Provider Demographics
NPI:1720432214
Name:STILL, CYNTHIA ANNE (RNFA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANNE
Last Name:STILL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2265 COBBLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-1572
Mailing Address - Country:US
Mailing Address - Phone:404-259-0883
Mailing Address - Fax:
Practice Address - Street 1:2265 COBBLE CREEK LN
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-1572
Practice Address - Country:US
Practice Address - Phone:404-259-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN063677163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant