Provider Demographics
NPI:1881669430
Name:CUNNINGHAM, SYLVIA SHANNON (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:SHANNON
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:176 MARIETTA HWY
Mailing Address - Street 2:BLDG A
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-1836
Mailing Address - Country:US
Mailing Address - Phone:678-945-8200
Mailing Address - Fax:678-945-8209
Practice Address - Street 1:176 MARIETTA HWY
Practice Address - Street 2:BLDG A
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-1836
Practice Address - Country:US
Practice Address - Phone:678-945-8200
Practice Address - Fax:678-945-8209
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN084875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily