Individual
STEPHANIE BRADSHAW CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9430 PARK WEST BLVD, #320, KNOXVILLE, TN 37923-4200
(865) 769-4444
Mailing address
9430 PARK WEST BLVD, #320, KNOXVILLE, TN 37923-4200
(865) 769-4444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD051440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I169808
CAHABA
TN
Enumeration date
06/04/2010
Last updated
10/30/2014
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