Cynthia Laree Roper

Individual provider Active NPI Community Health Worker · Sylvania, GA

NPI 1962651760 · NPPES record last updated Sep 17, 2008

Key facts

NPI
1962651760
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
124-01-018-9 (GA)
Practice address
6706 Savannah Hwy
Sylvania, GA 30467-9320
Phone
(912) 857-6591
Fax
(912) 857-6591
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 124-01-018-9 GA Yes

Addresses

Primary practice location

6706 Savannah Hwy
Sylvania, GA 30467-9320

Mailing address

6706 Savannah Hwy
Sylvania, GA 30467-9320
Phone (912) 857-6591

Other names

  • Cynthia Laree Roper Former name

Other providers in Sylvania, GA

All providers in Sylvania, GA · Community Health Worker in Georgia

Sources for this page

Verify at the official NPI Registry.