| Organization Name: | CHERAW FOOT CENTER PC |
| NPI Number: | 1467571919 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS ELI CUNNINGHAM (OWNER) |
| Mailing Address: | 110 S Doctors Dr Suite B1 Cheraw |
| State: | SC US |
| Postal Code: | 295207112 |
| Phone Number: | 8439216711 |
| Fax Number: | 8439216717 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 10/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 522 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |