Provider Demographics
NPI:1932869633
Name:SINGLETON, CECILIA LEIGH
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:LEIGH
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:LEIGH
Other - Last Name:SINGLETON-JENKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 S MAGNOLIA ST STE E1
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-4206
Mailing Address - Country:US
Mailing Address - Phone:229-886-1093
Mailing Address - Fax:
Practice Address - Street 1:100 S MAGNOLIA ST STE E1
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-4206
Practice Address - Country:US
Practice Address - Phone:229-347-5823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHCP011319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health