Individual
LISA-ANNE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
937 15TH ST, AUGUSTA, GA 30912-0008
(706) 721-3439
Mailing address
4573 MULBERRY CREEK DR, EVANS, GA 30809-3825
(706) 863-6783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000680
GA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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