Individual
DR. MATTHEW SHEA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-00451
NC
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145P3
BCBS
NC
05
—
5907185
—
NC
01
—
P00429054
RAILROAD MEDICARE
NC
Enumeration date
07/06/2007
Last updated
10/13/2022
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