Provider Demographics
NPI:1326815291
Name:CUNNINGHAM, EMILY CAROLINE (APRN , FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:CAROLINE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:APRN , FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 ASHLEY CROSSING DR STE 165
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5865
Mailing Address - Country:US
Mailing Address - Phone:843-936-4455
Mailing Address - Fax:
Practice Address - Street 1:2270 ASHLEY CROSSING DR STE 165
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5865
Practice Address - Country:US
Practice Address - Phone:843-936-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN.28187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine