Provider Demographics
NPI:1669797098
Name:HANKS, CYNTHIA WEST
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:WEST
Last Name:HANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 BATES HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:TN
Mailing Address - Zip Code:38477-6050
Mailing Address - Country:US
Mailing Address - Phone:931-638-1410
Mailing Address - Fax:
Practice Address - Street 1:1221 NASHVILLE HWY
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2221
Practice Address - Country:US
Practice Address - Phone:931-359-5802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator