Individual
PAUL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS, GREENVILLE, NC 27834
(252) 744-2393
(252) 744-1609
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
136436
NY
208600000X
Surgery Physician
Primary
25124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26475
BCBSNC
NC
05
—
5910602
—
NC
Enumeration date
05/09/2006
Last updated
11/18/2010
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