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Individual

DR. SCOTT ELLIS CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
LEBAUER GASTROENTEROLOGY, 520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1745
(336) 547-1824
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2019-02937
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VAD000
UPIN
Enumeration date
06/10/2009
Last updated
05/27/2022
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