MEDICARE: CYNTHIA D DAVIS

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1588362313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA D DAVIS

Provider Business Mailing Address
First Line	:	6037 LANTANA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2567
Country	:	US
Telephone Number	:	513-413-8439
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 ELM ST STE 270
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2781
Country	:	US
Telephone Number	:	513-609-4666
Fax Number	:

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

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	10/09/2024

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Directions to “ CYNTHIA D DAVIS ” Practice Location

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