Doctor Name: | JOHN DENNIS CUNNINGHAM |
NPI Number: | 1669474375 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-04-1400-C |
Business Practice Address: | 2 Health Center Dr Athens, OH - 457012907 |
Business Phone Number: | 7405931660 |
Business Fax Number: | 7405930179 |
Mailing Address: | 2 Health Center Dr, ATHENS |
State: | OH |
Postal Code: | 457012907 |
Phone Number: | 7405931660 |
Fax Number: | 7405930179 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-04-1400-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |