Jean Cunningham, O.D.
Optometrist in Raleigh, NC. Individual provider (NPI-1).
NPI number1255596102
StatusActive
Last updated in NPPESJul 21, 2008
Details
- NPI
- 1255596102
- Entity type
- Individual (NPI-1)
- Name
- Jean Cunningham
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2008
- Last updated
- Jul 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1224 | NC | Yes |
Practice location
6408 Secret DrRaleigh, NC 27612-6550
Phone 919-844-8578 · Fax 919-844-8557
Mailing address
6408 Secret DrRaleigh, NC 27612-6550
Phone 919-844-8578 · Fax 919-844-8557
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