Individual
THOMAS KEITH CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
611 N WASHINGTON ST, LINCOLNTON, GA 30817-6037
(706) 359-4215
(706) 359-1662
Mailing address
PO BOX 568, WASHINGTON, GA 30673-0568
(706) 359-4215
(706) 359-1662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN115548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000922567F
—
GA
Enumeration date
03/11/2008
Last updated
07/24/2016
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