Individual
DR. GEORGE A. CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
140 W MAIN ST, MOUNTAIN CITY, TN 37683-1308
(423) 727-7241
(423) 727-7760
Mailing address
140 W MAIN ST, MOUNTAIN CITY, TN 37683-1308
(423) 727-7241
(423) 727-7760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD476
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3591620
—
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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