Individual
DR. GRAYDON B CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 ATWOOD ST, CORYDON, IN 47112-1738
(812) 738-7883
Mailing address
2323 LIME KILN LN, LOUISVILLE, KY 40222-3416
(502) 339-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01051959A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255387825
—
IN
05
—
64316433
—
IN
Enumeration date
05/25/2006
Last updated
07/09/2010
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