Individual
MRS. CAROLE L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
455 PHILIP BLVD, BLDG 100, STE 160, LAWRENCEVILLE, GA 30046-8767
(678) 985-0238
(678) 985-0136
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8907
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006868
GA
Other
Enumeration date
06/08/2006
Last updated
12/17/2014
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