Individual
DR. MARY ALLISON CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
(205) 333-8233
Mailing address
4880 HARKEY LN, TUSCALOOSA, AL 35406-2863
(205) 333-8222
(205) 333-8233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20240
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934682
—
AL
01
—
51531864
BCBS PROVIDER NUMBER
AL
Enumeration date
08/15/2006
Last updated
04/11/2019
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