Provider Demographics
NPI:1902980733
Name:SADLER, CYNTHIA DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:DENISE
Last Name:SADLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:DENISE
Other - Last Name:SADLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH, JD
Mailing Address - Street 1:1720 POWERS FERRY RD SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5442
Mailing Address - Country:US
Mailing Address - Phone:202-425-3150
Mailing Address - Fax:
Practice Address - Street 1:445 LAURIAN WAY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-5165
Practice Address - Country:US
Practice Address - Phone:202-425-3150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030874207V00000X, 208D00000X
GAGA030874171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No171W00000XOther Service ProvidersContractor