Individual
MR. BRIAN MITCHELL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
447 N BELAIR RD, STE # 101, EVANS, GA 30809-3090
(706) 854-2222
(706) 854-2223
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
075157
GA
207Q00000X
Family Medicine Physician
Primary
39062
SC
Other
Enumeration date
07/05/2012
Last updated
05/17/2016
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