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Jan H. Cunningham, Md, Pllc
Medical Specialty Clinic/Center in Charleston, West Virginia
NPI 1962696112

Jan H. Cunningham, Md, Pllc is a Medical Specialty Clinic/Center based in Charleston, WV and is specialized in Medical Specialty. Jan H. Cunningham, Md, Pllc practices in Charleston, WV. The NPI Number for Jan H. Cunningham, Md, Pllc is 1962696112 and holds a License No. 09984 (West Virginia).

The current practice location address for Jan H. Cunningham, Md, Pllc is 830 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-345-4770 and via fax at 304-345-4774.

Location: 830 Pennsylvania Ave, Charleston, WV, 25302-5302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962696112
Provider Name
Jan H. Cunningham, Md, Pllc
Credential
Provider Entity Type
Organization
Address
830 Pennsylvania Ave, Charleston, WV, 25302-5302
Phone Number
304-345-4770
Fax Number
304-345-4774
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0093478000 05 WV
institution
Provider Business Practice Location Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-345-4770
Fax Number
304-345-4774
person
Provider Business Mailing Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-345-4770
Fax Number
304-345-4774
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
09984 (West Virginia)
Definition
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).
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