Individual
MARY CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1924 ALCOA HWY # U56, KNOXVILLE, TN 37920-1511
(865) 305-9081
(865) 305-8769
Mailing address
PO BOX 415000-MSC8135, NASHVILLE, TN 37241-8135
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102205116
VA
207Q00000X
Family Medicine Physician
3788
TN
208M00000X
Hospitalist Physician
0102205116
VA
208M00000X
Hospitalist Physician
Primary
3788
TN
Other
Enumeration date
03/25/2015
Last updated
01/06/2022
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