Individual
STEPHANIE NICOLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11289 PARKSIDE DR, SPACE 1108, KNOXVILLE, TN 37934-1964
(865) 675-7524
Mailing address
11289 PARKSIDE DR, SPACE 1108, KNOXVILLE, TN 37934-1964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3181
TN
Other
Enumeration date
06/18/2014
Last updated
07/24/2014
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