Individual
DR. JAN HOWARD CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 25302-3302
(304) 345-4770
(304) 345-4774
Mailing address
830 PENNSYLVANIA AVE, SUITE 405, CHARLESTON, WV 25302-3302
(304) 345-4770
(304) 345-4774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09984
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093478000
—
WV
Enumeration date
11/07/2006
Last updated
07/08/2007
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