Organization
CAMPBELL CUNNINGHAM TAYLOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE B. CUNNINGHAM MD (MD)
(865) 584-2127
Entity
Organization
Contact information
Practice address
962 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3707
(865) 428-8000
(865) 428-2091
Mailing address
962 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3707
(865) 428-8000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0645010002
DME
TN
01
—
3371152
MEDICARE
TN
05
—
3371152
—
TN
Enumeration date
11/04/2009
Last updated
06/25/2019
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