Organization · Type 2 NPI

Jan H. Cunningham, Md, PLLC

Medical Specialty Clinic/Center · Charleston, WV

NPI number 1962696112 Active

Practice location

830 Pennsylvania Ave, 405
Charleston, WV 25302-3302

Fax (304) 345-4774

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X09984 (WV)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

52 other providers at this address

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About NPI 1962696112

Jan H. Cunningham, Md, PLLC's National Provider Identifier is 1962696112, issued on Aug 30, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Charleston, WV. The record was last updated on Nov 30, 2007.