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Organization

CAMPBELL CUNNINGHAM TAYLOR PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE B CUNNINGHAM MD (MD)
(865) 584-2127
Entity
Organization

Contact information

Practice address
1124 E WEISGARBER RD STE 100, KNOXVILLE, TN 37909-2686
(865) 584-0905
(865) 584-3892
Mailing address
1124 E WEISGARBER RD, STE 104, KNOXVILLE, TN 37909-2686
(865) 584-0905
(865) 584-3892

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529722
TN
05
3371152
TN
Enumeration date
06/13/2005
Last updated
01/31/2019
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