Individual
MRS. BENNA ELLIS CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
370 RIVER ROAD, ATHENS, GA 30602-1755
(706) 542-8666
(706) 542-0275
Mailing address
370 RIVER ROAD, ATHENS, GA 30602-1755
(706) 542-8666
(706) 542-0275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN036369 NP
GA
Other
Enumeration date
08/14/2006
Last updated
05/22/2009
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