Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 050605 | GA |
NPI | 1023097227 |
---|---|
Provider Name | Cynthia Aracelly Cabrera |
First Address | Gainesville, GA 30503-0658 |
Second Address | Gainesville, GA 30501-3715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 27/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000975202B | (05) | GA |
10053094 | AMERIGROUP (01) | GA |
196507 | BCBS (01) | GA |
2318238 | UNITED HEALTHCARE (01) | GA |
340825 | WELLCARE (01) | GA |
I50838 | (02) |