Individual
DR. CERISIA A CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
225 FIRST ST, ARNOLD AIR FORCE BASE, TN 37389-2402
(931) 454-6134
(931) 454-6137
Mailing address
261 OBADIAH LN, MANCHESTER, TN 37355-4935
(931) 728-8314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0719
TN
208D00000X
General Practice Physician
D0719
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3302008
—
TN
Enumeration date
09/05/2006
Last updated
06/01/2020
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