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NPI Code Detail

MEDICARE: HANNAH CUMBY

MEDICARE:   HANNAH  CUMBY
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1972295475
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH CUMBY
Provider Business Mailing Address
First Line : 284 EXECUTIVE PARK DR STE 100
Second Line :
City : CONCORD
State : NC
Zip : 28025-1833
Country : US
Telephone Number : 704-939-1100
Fax Number : 704-939-1173
Provider Business Practice Location Address
First Line : 616 COLONNADE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-6827
Country : US
Telephone Number : 704-273-3942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/31/2023

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Directions to “ HANNAH CUMBY ” Practice Location

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