Individual
DR. MICHAEL JAMES TUMMINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
275 CARPENTER DR NE, SUITE 209, SANDY SPRINGS, GA 30328-4928
(404) 255-4410
Mailing address
5698 KILRUSH CT SE, MABLETON, GA 30126-5636
(770) 883-4520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4903
MEDICARE GROUP #
GA
Enumeration date
03/08/2007
Last updated
07/08/2007
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