Organization
NDC FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERMAINE D. CUMMINGS M.D, (MEDICAL DOCTOR)
(770) 554-8828
Entity
Organization
Contact information
Practice address
3900 HWY 81 SOUTH, LOGANVILLE, GA 30052-3917
(770) 554-8828
(770) 554-9221
Mailing address
3900 HWY 81 SOUTH, LOGANVILLE, GA 30052-3917
(770) 554-8828
(770) 554-9221
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
052340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052340
LICENSE# 052340
GA
01
—
1871544775
INDIVIDUAL NPI#1871544775
GA
Enumeration date
05/24/2007
Last updated
08/22/2020
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