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Individual

CARLA BERNICE CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 SHUTE LN, OLD HICKORY, TN 37138-2139
(615) 415-8114
Mailing address
225 SHUTE LN, OLD HICKORY, TN 37138-2139
(615) 415-8114

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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