Provider Demographics
NPI:1578785556
Name:CUMMINGS, MARK W (MD)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:W
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:510 N ELAM AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1150
Mailing Address - Country:US
Mailing Address - Phone:336-299-3183
Mailing Address - Fax:
Practice Address - Street 1:TRIAD PEDIATRICS 2754 NC-68
Practice Address - Street 2:SUITE 111
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1150
Practice Address - Country:US
Practice Address - Phone:336-802-1111
Practice Address - Fax:336-803-7136
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2023-03-28
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Provider Licenses
StateLicense IDTaxonomies
NC2009-00612208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics