Cunningham, Mark L

Cunningham, Mark L is an individual health care provider with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cunningham, Mark L can be contacted via phone (901) 291-2427.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Phone: (901) 291-2427
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 16101 Tennessee

Profile Details

NPI number 1326041146
LBN Legal business name Cunningham, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jan 14th, 2015 - about 10 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 1326041146 NPPES
Tennessee MEDICAID 3020096
Tennessee MEDICAID 00112219

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