| Doctor Name: | DR. TODD MCCUNE |
| NPI Number: | 1194895599 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0101034229 |
| Business Practice Address: | 123 Bayshore Dr Sneads Ferry, NC - 284609509 |
| Business Phone Number: | 9104509070 |
| Business Fax Number: | |
| Mailing Address: | 123 Bayshore Dr, SNEADS FERRY |
| State: | NC |
| Postal Code: | 284609509 |
| Phone Number: | 9104509070 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1102X |
| License Number: | 0101034229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Military Outpatient Operational (Transportable) Component |
| Taxonomy Definition: | |