Healthcare Provider Details

I. General information

NPI: 1245553080
Provider Name (Legal Business Name): CYNTHIA DENISE PERRYMAN RN-BSN CRRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 FOREST GLEN DR
WARM SPRINGS GA
31830-2299
US

IV. Provider business mailing address

127 FOREST GLEN DR
WARM SPRINGS GA
31830-2299
US

V. Phone/Fax

Practice location:
  • Phone: 706-573-8162
  • Fax:
Mailing address:
  • Phone: 706-573-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN165196
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN165196
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN165196
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN165196
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN165196
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number1-117828
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: