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1235760356
TRACI TARVER CUMMINS
GREENVILLE, MS
NPI
1235760356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MS PA00470)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
Mrs. TRACI TARVER CUMMINS PA-C
1400 E UNION ST
GREENVILLE, MS 38703-3246
Phone number: 662-378-3783
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Mailing Address
Mrs. TRACI TARVER CUMMINS PA-C
805 DUNTON RD
CLINTON, MS 39056-4307
Phone number: 662-719-9770
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