Provider Demographics
NPI:1780617852
Name:MCKAY-LYNCH, CYNTHIA S (DC)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:S
Last Name:MCKAY-LYNCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 SOUTH BELAIR ROAD, SUITE I
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907
Mailing Address - Country:US
Mailing Address - Phone:706-651-1992
Mailing Address - Fax:706-651-9481
Practice Address - Street 1:337 SOUTH BELAIR ROAD, SUITE I
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907
Practice Address - Country:US
Practice Address - Phone:706-651-1992
Practice Address - Fax:706-651-9481
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
35ZCFTCMedicare UPIN
GAU63634Medicare UPIN