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Dr. Jacob Logan Cunningham, MD
Student in an Organized Health Care Education/Training Program in Scott, Louisiana
NPI 1245933159

Jacob Logan Cunningham is a Student in an Organized Health Care Education/Training Program based in Scott, LA. Jacob Logan Cunningham practices in Scott, LA and has the professional credentials of MD. The NPI Number for Jacob Logan Cunningham is 1245933159 and holds a License No. (Louisiana).

The current practice location address for Jacob Logan Cunningham is 1217 Pitt Rd, Scott, LA and can be reached out via phone at 337-412-8127.

Location: 1217 Pitt Rd, Scott, LA, 70583-4605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245933159
Provider Name
Jacob Logan Cunningham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1217 Pitt Rd, Scott, LA, 70583-4605
Phone Number
337-412-8127
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1217 Pitt Rd
City
Scott
State
Louisiana
Zip
70583-4605
Phone Number
337-412-8127
Fax Number
person
Provider Business Mailing Address Details
Address
1217 Pitt Rd
City
Scott
State
Louisiana
Zip
70583-4605
Phone Number
337-412-8127
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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