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NPI Code Detail

MEDICARE: DR. JENNY ANDREWS CUNNINGHAM M.D.

MEDICARE: DR. JENNY ANDREWS CUNNINGHAM M.D.
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
1207R00000XInternal Medicine Physician302425LA

General Provider Information

NPI Number : 1245567312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNY ANDREWS CUNNINGHAM M.D.
Provider Business Mailing Address
First Line : 1936 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5016
Country : US
Telephone Number : 504-529-5558
Fax Number : 504-592-3977
Provider Business Practice Location Address
First Line : 1936 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5016
Country : US
Telephone Number : 504-529-5558
Fax Number : 504-592-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2009
Last Update Date : 11/15/2016

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