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NPI Code Detail

MEDICARE: JOHN DENNIS CUNNINGHAM M.D.

MEDICARE: JOHN DENNIS 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
1208D00000XGeneral Practice Physician35-04-1400-COH

General Provider Information

NPI Number : 1669474375
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DENNIS CUNNINGHAM M.D.
Provider Business Mailing Address
First Line : 2 HEALTH CENTER DR
Second Line :
City : ATHENS
State : OH
Zip : 45701-2907
Country : US
Telephone Number : 740-593-1660
Fax Number : 740-593-0179
Provider Business Practice Location Address
First Line : 2 HEALTH CENTER DR
Second Line :
City : ATHENS
State : OH
Zip : 45701-2907
Country : US
Telephone Number : 740-593-1660
Fax Number : 740-593-0179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/08/2007

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