Provider Demographics
NPI:1659655462
Name:CUMMINGS, MORGAN TOOLE (PA-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:TOOLE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 BIG A ROAD
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-6000
Mailing Address - Country:US
Mailing Address - Phone:706-886-6069
Mailing Address - Fax:706-886-6617
Practice Address - Street 1:274 BIG A ROAD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577
Practice Address - Country:US
Practice Address - Phone:706-886-6069
Practice Address - Fax:706-886-6617
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006227363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical