Organization
CUMMINGS HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNIE E CUMMINGS III M.D. (OWNER)
(662) 627-4442
Entity
Organization
Contact information
Practice address
536 S CHOCTAW ST, CLARKSDALE, MS 38614-4800
(662) 627-4442
(662) 627-9665
Mailing address
PO BOX 1610, 536 CHOCTAW STREET, CLARKSDALE, MS 38614-8410
(662) 627-4442
(662) 627-9665
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12250
MS
Other
Enumeration date
05/14/2007
Last updated
03/17/2008
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