Individual
BRANDON CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5170 NORTON LN, MOBILE, AL 36608-2737
(251) 767-7044
Mailing address
5170 NORTON LN, MOBILE, AL 36608-2737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
7645358
AL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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