Organization
CUNANAN MEDICAL CLINIC INC
Active
Organization
CUNANAN MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEO MIRANDA CUNANAN MBA (PRESIDENT)
(770) 251-4140
Entity
Organization
Contact information
Practice address
109 BULLSBORO DR, NEWNAN, GA 30263
(770) 251-4140
(770) 251-7275
Mailing address
109 BULLSBORO DR, NEWNAN, GA 30263
(770) 251-4140
(770) 251-7275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442780335A
—
GA
Enumeration date
12/11/2006
Last updated
09/09/2011
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