Provider Demographics
NPI:1760663579
Name:CUNNINGHAM, AMANDA RING (MD,)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:RING
Last Name:CUNNINGHAM
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Gender:F
Credentials:MD,
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Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:ENDOCRINOLOGY
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-713-7251
Mailing Address - Fax:336-713-7255
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:ENDOCRINOLOGY
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-713-7251
Practice Address - Fax:336-713-7255
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2008-05-30
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Provider Licenses
StateLicense IDTaxonomies
NC117853207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC31031BMedicare UPIN