Healthcare Provider Details

I. General information

NPI: 1598107385
Provider Name (Legal Business Name): MAUREEN CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2013
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 PEACHTREE DUNWOODY RD BLDG 400 STE 125
ATLANTA GA
30328-6773
US

IV. Provider business mailing address

1305 HENLEY ST APT 1102
NAPLES FL
34105-4847
US

V. Phone/Fax

Practice location:
  • Phone: 866-587-9922
  • Fax: 866-587-9993
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberRT7703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: