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NPI Code Detail

MEDICARE: MICHAEL CUMMINGS MPT

MEDICARE: MICHAEL CUMMINGS MPT
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
12251X0800XOrthopedic Physical Therapist5005SC

General Provider Information

NPI Number : 1316020936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CUMMINGS MPT
Provider Business Mailing Address
First Line : 3031 MORNINGDALE DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29466-8557
Country : US
Telephone Number : 843-697-6176
Fax Number :
Provider Business Practice Location Address
First Line : 306 STATION 22 1/2 ST
Second Line :
City : SULLIVANS ISLAND
State : SC
Zip : 29482-9756
Country : US
Telephone Number : 843-883-0054
Fax Number : 843-883-0064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL CUMMINGS MPT” Practice Location

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