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General NPI Number Information
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NPI Number | 1679584072
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Entity Type | Individual
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Provider Name | CYNTHIA NATER TZILIANOS MD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 775 POPLAR RD STE 120
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City | NEWNAN
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State | GA
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Zip | 30265-8301
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Country | US
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Telephone | 770-400-4523
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Fax |
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Provider Business Mailing Address
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Address Line | 1279 HIGHWAY 54 WEST SUITE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4552
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Country | US
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Telephone | 770-991-2200
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Fax | 770-991-1341
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 056200
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License Number State | GA
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