Individual
DR. CARSON C CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 GORDONVILLE RD STE 384, CAPE GIRARDEAU, MO 63703-5095
(573) 331-5522
(573) 331-5523
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
023960
LA
208600000X
Surgery Physician
Primary
2016007347
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486639
—
LA
Enumeration date
12/08/2005
Last updated
01/22/2021
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