Individual
MRS. THELMA BERRY CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3650 STEVE REYNOLDS BOULEVARD, KP MEDICAL CENTER AT GWINNETT, DULUTH, GA 30086
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN133042
GA
363LW0102X
Women's Health Nurse Practitioner
RN133042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555899915A
—
GA
Enumeration date
02/22/2006
Last updated
05/02/2008
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