Doctor Name: | DR. MIA CUNNINGHAM |
NPI Number: | 1215304803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | CHIR009518 |
Business Practice Address: | 2740 Greenbriar Pkwy Sw A3 Atlanta, GA - 303312627 |
Business Phone Number: | 4046299999 |
Business Fax Number: | 4046299440 |
Mailing Address: | 2740 Greenbriar Pkwy Sw, A3 ATLANTA |
State: | GA |
Postal Code: | 303312627 |
Phone Number: | 4046299999 |
Fax Number: | 4046299440 |
NPI Enumeration Date: | 08/31/2015 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHIR009518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |