| Christopher Marascalco Cummins MD LLC | |
|
406 Galleria Dr Oxford MS 38655-5462 | |
| (978) 444-2273 | |
| Not Available |
| Full Name | Christopher Marascalco Cummins MD LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 406 Galleria Dr, Oxford, Mississippi |
| Authorized Official Name and Position | Christopher Cummins (OWNER) |
| Authorized Official Contact | 6628012841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Marascalco Cummins MD LLC 6242 Charleston Court Dr Oxford MS 38655-8098 Ph: (662) 800-1284 | Christopher Marascalco Cummins MD LLC 406 Galleria Dr Oxford MS 38655-5462 Ph: (978) 444-2273 |
| NPI Number | 1710655956 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 4385041615 |
|---|---|
| Medicare Enrollment ID | O20210929000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710655956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Christopher J Cummins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376741355 PECOS PAC ID: 6406943265 Enrollment ID: I20151229001857 |
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