Cunningham, George A.

Cunningham, George A. is an sole proprietor health care provider with primary practice located at 140 W Main St , Mountain City TN 37683-1308. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cunningham, George A. can be contacted via phone (423) 727-7241.

Contact Information

Primary practice address
140 W Main St Mountain City TN 37683-1308
Phone: (423) 727-7241
Fax: (423) 727-7760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD476 Tennessee

Profile Details

NPI number 1013085323
LBN Legal business name Cunningham, George A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1013085323 NPPES
Tennessee MEDICAID 3591620

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