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Individual

MRS. JAMIE D CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2001 LAUREL ST, COLUMBIA, SC 29204-1018
(803) 254-3278
(803) 255-2715
Mailing address
PO BOX 99, COLUMBIA, SC 29202-0099
(803) 254-3278
(803) 255-2715

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3442
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP1180
SC
Enumeration date
01/15/2008
Last updated
04/07/2011
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