Individual
MS. DONIECE ROSS CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC
Contact information
Practice address
1014 FORSYTH ST, SUITE 100, MACON, GA 31201-2051
(478) 633-8700
(478) 633-8710
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204-1787
(478) 633-6633
(478) 633-4295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2-44278
TX
163W00000X
Registered Nurse
RN217465
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN217465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144049B
—
GA
Enumeration date
01/07/2013
Last updated
06/20/2015
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