MEDICARE: CYNTHIA S FERNANDEZ MD

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	207V00000X	Obstetrics & Gynecology Physician	32994	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	202I169632	OTHER	GA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598762908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA S FERNANDEZ MD

Provider Business Mailing Address
First Line	:	2300 MANCHESTER EXPY STE 2001A
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6802
Country	:	US
Telephone Number	:	706-320-3126
Fax Number	:	706-320-3054

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY STE B001
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6877
Country	:	US
Telephone Number	:	706-324-4891
Fax Number	:	706-256-2424

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/01/2024

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Directions to “ CYNTHIA S FERNANDEZ MD” Practice Location

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