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Individual

DR. NICHOLAS ALLEN CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
63420 HWY 25 N, SMITHVILLE, MS 38870
(662) 651-4637
(662) 651-4636
Mailing address
173 N RIDGE DR, SALTILLO, MS 38866-5779
(662) 840-7068

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
06713
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03958535
MS
Enumeration date
08/30/2006
Last updated
07/08/2007
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