Individual
STEVEN G CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(601) 450-0521
Mailing address
5000 W 4TH ST, HATTIESBURG, MS 39402-1000
(601) 450-0521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35084723
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000327390
BC/BS INDIVIDUAL PIN NO
OH
05
—
2535484
—
OH
05
—
64097025
—
KY
01
—
P00138530
SOR RR MDCR PIN NUMBER
OH
01
—
P00181684
SOM RR MDCR PIN NUMBER
OH
Enumeration date
08/03/2005
Last updated
07/09/2007
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