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NPI Code Detail

MEDICARE: DR. JOHN DAVID CUNNINGHAM JR. MD, FACS

MEDICARE:  DR. JOHN DAVID CUNNINGHAM JR. MD, FACS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YS0012XSleep Medicine (Otolaryngology) Physician200101324NC
2207YX0602XOtolaryngic Allergy Physician200101324NC
3207Y00000XOtolaryngology Physician200101324NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040017153OTHERNCRETIRED RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31297HOTHERNCBCBSNC

General Provider Information

NPI Number : 1245215904
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DAVID CUNNINGHAM JR. MD, FACS
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 DOCTORS DR STE K
Second Line :
City : KINSTON
State : NC
Zip : 28501-1584
Country : US
Telephone Number : 252-523-0687
Fax Number : 252-523-0255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 12/28/2023

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Directions to “ DR. JOHN DAVID CUNNINGHAM JR. MD, FACS” Practice Location

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