MEDICARE: MORGAN TOOLE CUMMINGS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	6227	GA
2	363AM0700X	Medical Physician Assistant	6227	GA

General Provider Information

NPI Number	:	1659655462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN TOOLE CUMMINGS PA-C

Provider Business Mailing Address
First Line	:	111 DAVIS RD
Second Line	:
City	:	MARTINEZ
State	:	GA
Zip	:	30907-2383
Country	:	US
Telephone Number	:	706-432-9285
Fax Number	:	706-432-9674

Provider Business Practice Location Address
First Line	:	111 DAVIS RD
Second Line	:
City	:	MARTINEZ
State	:	GA
Zip	:	30907-2383
Country	:	US
Telephone Number	:	706-432-9285
Fax Number	:	706-432-9674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	03/18/2026

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