MEDICARE: CYNTHIA L DRAKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN272757	GA

General Provider Information

NPI Number	:	1437017753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L DRAKE

Provider Business Mailing Address
First Line	:	5936 WALTERS LOOP
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-5363
Country	:	US
Telephone Number	:	706-587-5409
Fax Number	:	706-330-1523

Provider Business Practice Location Address
First Line	:	3907 MACON RD STE D
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2292
Country	:	US
Telephone Number	:	706-330-1523
Fax Number	:	706-330-1524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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