Individual
JESSICA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-1895
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LL87554
SC
Other
Enumeration date
03/30/2022
Last updated
07/08/2022
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