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Individual

CHARLES LOUIS CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08840
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051512362
BLUE CROSS
AL
05
051512362
AL
01
110244782
RAILROAD MEDICARE
AL
Enumeration date
08/03/2006
Last updated
07/21/2011
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