Individual
MR. TIMOTHY ALAN CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11405 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1688
(770) 814-0505
Mailing address
314 HAMBLEDON WALK, JOHNS CREEK, GA 30022-8515
(334) 209-5656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7760
AL
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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