Individual
DR. LOUIS E CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Mailing address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118130
BCBS
TN
01
—
060021316
PALMETTO GBA RR MEDICARE
TN
01
—
115771
UNISON
TN
05
—
3059829
—
TN
01
—
7935
TLC
TN
Enumeration date
06/05/2006
Last updated
05/23/2025
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