Provider Demographics
NPI:1033105838
Name:CUMMINGS, LAURA W (MO)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:W
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:960 JOHNSON FERRY RD NE
Mailing Address - Street 2:STE 400
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-257-0170
Mailing Address - Fax:404-851-9894
Practice Address - Street 1:960 JOHNSON FERRY RD NE
Practice Address - Street 2:STE 400
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-257-0170
Practice Address - Fax:404-851-9894
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2020-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA35324207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA16BBCMVMedicare ID - Type Unspecified
GAC26043Medicare UPIN