| Elisabeth Cummings Llc | |
|
3455 Lawrenceville Suwanee Rd Ste D Suwanee GA 30024-6425 | |
| (770) 309-6763 | |
| Not Available |
| Full Name | Elisabeth Cummings Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3455 Lawrenceville Suwanee Rd Ste D, Suwanee, Georgia |
| Authorized Official Name and Position | Elisabeth Cummings (OWNER) |
| Authorized Official Contact | 7703096763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Cummings Llc 1266 Chippewa Oak Dr Dacula GA 30019-1290 Ph: () - | Elisabeth Cummings Llc 3455 Lawrenceville Suwanee Rd Ste D Suwanee GA 30024-6425 Ph: (770) 309-6763 |
| NPI Number | 1063976587 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/19/2020 |
| Certification Date | 01/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063976587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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