Provider Demographics
NPI:1760516694
Name:CUMMINS, LINDA M (AUD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BOILING SPRINGS RD STE 1400
Mailing Address - Street 2:SPARTANBURG EAR, NOSE, AND THROAT
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-4205
Mailing Address - Country:US
Mailing Address - Phone:864-278-1446
Mailing Address - Fax:
Practice Address - Street 1:2 ROPER CORNERS CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4833
Practice Address - Country:US
Practice Address - Phone:864-234-7815
Practice Address - Fax:864-234-7846
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001344231H00000X
SCAUD4008231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400003839Medicare PIN