| Larry E Cummins Md Pc | |
|
1333 Fallston Rd Shelby NC 28150-3301 | |
| (704) 482-2207 | |
| (704) 482-2254 |
| Full Name | Larry E Cummins Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1333 Fallston Rd, Shelby, North Carolina |
| Authorized Official Name and Position | Larry E Cummins (CEO) |
| Authorized Official Contact | 7044822207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry E Cummins Md Pc Po Box 1620 Shelby NC 28151-1620 Ph: (704) 482-2207 | Larry E Cummins Md Pc 1333 Fallston Rd Shelby NC 28150-3301 Ph: (704) 482-2207 |
| NPI Number | 1922214972 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 01/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922214972 | NPI | - | NPPES |
| 232138 | Other | NC | MEDICARE PTAN |
| 8926461 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28744 (North Carolina) | Primary |
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