Individual
MEREDITH CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9430 PARK WEST BLVD STE 310, KNOXVILLE, TN 37923-4203
(865) 690-5263
(865) 588-3740
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3210
TN
363AS0400X
Surgical Physician Assistant
3210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA3210
—
TN
Enumeration date
05/24/2017
Last updated
03/04/2022
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