Individual
EDWIN J CUNNINGHAM JR
Active
Individual
EDWIN J CUNNINGHAM JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14865
TN
207L00000X
Anesthesiology Physician
22903
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012390
—
MS
01
—
050046696
MEDICARE RAILROAD
—
05
—
107439001
—
AR
05
—
201988706
—
MO
05
—
3006016
—
TN
01
—
3075019
BLUECROSS BLUESHIELD
TN
01
—
92419
BLUECROSS BLUESHIELD
AR
Enumeration date
12/15/2005
Last updated
11/03/2016
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