Individual
MICHAEL CULLEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 340, BILOXI, MS 39532-2129
(228) 392-7429
(228) 396-3830
Mailing address
1720A MEDICAL PARK DR, SUITE 340, BILOXI, MS 39532-2129
(228) 392-7429
(228) 396-3830
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
19714
MS
207RI0011X
Interventional Cardiology Physician
MD.15474R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08806571
—
MS
05
—
1067156
—
LA
01
—
7461908
ATENA
MS
01
—
P00630623
RAILROAD
MS
Enumeration date
05/02/2007
Last updated
01/14/2010
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