Healthcare Provider Details

I. General information

NPI: 1760789838
Provider Name (Legal Business Name): CYNTHIA JOYE HENDRIX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA JOYE JONES

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 BIG A RD
TOCCOA GA
30577-6008
US

IV. Provider business mailing address

3862 GRADY SCHOOL RD
LAVONIA GA
30553-4142
US

V. Phone/Fax

Practice location:
  • Phone: 706-297-7618
  • Fax:
Mailing address:
  • Phone: 706-491-8970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025155
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: