Organization
CUNNINGHAM CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNING P CUNNINGHAM (OWNER)
(803) 938-8308
Entity
Organization
Contact information
Practice address
313 BROAD ST, SUMTER, SC 29150-4123
(803) 938-8308
Mailing address
205 JACKSON ST, FAIRMONT, NC 28340-1619
(910) 628-9592
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301008854
CHIROPRACTOR LICENSE
MI
Enumeration date
08/31/2006
Last updated
08/22/2020
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