Individual
MRS. ELIZABETH DIANE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1179 BEN JONES RD, CLARKESVILLE, GA 30523-3108
(706) 754-1406
(706) 754-1406
Mailing address
1179 BEN JONES RD, CLARKESVILLE, GA 30523-3108
(678) 234-3074
(706) 754-1406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 0007349
GA
Other
Enumeration date
11/27/2006
Last updated
07/09/2007
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