Individual
MR. JACK R CUNNINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2806
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 460-0326
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31820
AL
Other
Enumeration date
04/25/2011
Last updated
03/01/2018
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