Organization
LARRY E CUMMINS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY E CUMMINS MD (CEO)
(704) 482-2207
Entity
Organization
Contact information
Practice address
1333 FALLSTON RD, SHELBY, NC 28150-3301
(704) 482-2207
(704) 482-2254
Mailing address
PO BOX 1620, SHELBY, NC 28151-1620
(704) 482-2207
(704) 482-2254
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232138
MEDICARE PTAN
NC
05
—
8926461
—
NC
Enumeration date
05/15/2007
Last updated
01/30/2014
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