MEDICARE: DR. SELIG ABRAHAM CYNMAN M.D.

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	2084P0800X	Psychiatry Physician	41101	GA

General Provider Information

NPI Number	:	1518189430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SELIG ABRAHAM CYNMAN M.D.

Provider Business Mailing Address
First Line	:	294 SOUTH MAIN STREET
Second Line	:	SUITE 100
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-1969
Country	:	US
Telephone Number	:	770-754-9855
Fax Number	:	770-754-0475

Provider Business Practice Location Address
First Line	:	294 SOUTH MAIN STREET
Second Line	:	SUITE 100
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-1969
Country	:	US
Telephone Number	:	770-754-9855
Fax Number	:	770-754-0475

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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