Organization
ICU SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CUNNINGHAM M.D. (OWNER)
(478) 319-3425
Entity
Organization
Contact information
Practice address
656 MONTICLAIR DR, MACON, GA 31210-4432
(478) 319-3425
Mailing address
PO BOX 4367, MACON, GA 31208-4367
(478) 477-4818
(478) 477-3821
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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