Individual
MR. DIXON COURSON CUNNINGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 2800, ANDERSON, SC 29621-1580
(864) 226-7636
(864) 231-7743
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 226-7636
(864) 231-7743
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22346
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T64999
—
SC
Enumeration date
08/24/2005
Last updated
03/09/2017
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