| Doctor Name: | CYNTHIA LYNNE ANDERSON |
| NPI Number: | 1235463720 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANPC |
| License Number: | RN127974 |
| Business Practice Address: | 4102 Fire Tower Rd Baxley, GA - 315136577 |
| Business Phone Number: | 9123668863 |
| Business Fax Number: | |
| Mailing Address: | 4102 Fire Tower Rd, BAXLEY |
| State: | GA |
| Postal Code: | 315136577 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2009 |
| NPI Last Update Date: | 09/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN127974 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |