Individual
DR. JERRY MILTON CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 FAIRVIEW, GREENVILLE, MS 38701
(662) 334-9182
(662) 335-5320
Mailing address
521 FAIRVIEW, GREENVILLE, MS 38701
(662) 334-9182
(662) 335-5320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06997
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016395
—
MS
Enumeration date
11/06/2006
Last updated
03/07/2023
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