Individual
MR. ROBERT W. CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 481-1000
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00782
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4013052
BLUE CROSS
TN
Enumeration date
06/08/2006
Last updated
11/29/2007
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