Organization
DESOTO THYROID AND ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA R CUNNINGHAM M.D. (PHYSICIAN)
(662) 895-6455
Entity
Organization
Contact information
Practice address
5960 GETWELL RD, SUITE 212-D, SOUTHAVEN, MS 38672-7318
(662) 895-6455
Mailing address
5960 GETWELL RD, SUITE 212-D, SOUTHAVEN, MS 38672-7318
(662) 895-6455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20121
MS
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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