Doctor Name: | DR. CHRISTOPHER J CUMMINS |
NPI Number: | 1376741355 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19838 |
Business Practice Address: | 1009 City Ave N Suite B Ripley, MS - 386631414 |
Business Phone Number: | 6629939458 |
Business Fax Number: | 6629939459 |
Mailing Address: | 1009 B City Avenue North, Suite B RIPLEY |
State: | MS |
Postal Code: | 38663 |
Phone Number: | 6629939458 |
Fax Number: | 6629939459 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |