Cunningham, Douglas Eli

Cunningham, Douglas Eli is an individual health care provider with primary practice located at 110 Doctors Dr Suite B-1, Cheraw SC 29520-7112. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Cunningham, Douglas Eli can be contacted via phone (843) 921-6711.

Contact Information

Primary practice address
110 Doctors Dr Suite B-1 Cheraw SC 29520-7112
Fax: (843) 921-6717
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 522 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 522 South Carolina

Profile Details

NPI number 1699761874
LBN Legal business name Cunningham, Douglas Eli
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Apr 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699761874 NPPES
South Carolina MEDICAID PD5220

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