Individual
MARA SHAE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6258
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL92655
SC
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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