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Organization
CHERAW FOOT CENTER PC
Active
Organization
CHERAW FOOT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ELI CUNNINGHAM DPM (OWNER)
(843) 921-6711
Entity
Organization
Contact information
Practice address
110 S DOCTORS DR, SUITE B1, CHERAW, SC 29520-7112
(843) 921-6711
(843) 921-6717
Mailing address
110 S DOCTORS DR, SUITE B1, CHERAW, SC 29520-7112
(843) 921-6711
(843) 921-6717
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
522
SC
213ES0131X
Foot Surgery Podiatrist
522
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD5220
—
SC
Enumeration date
03/28/2007
Last updated
10/24/2008
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