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Contact Information

JERRY M CUNNINGHAM, MD
521 FAIRVIEW
GREENVILLE, MS38701
 Phone: 662-334-9182
 Fax: 662-335-5320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JERRY M CUNNINGHAM · (Male)

NPI # 1245309418
Status Active
Credentials MD
Entity Individual
Enumeration date 11/06/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 06997
  • MS Medicaid 00016395
Hospital affiliation(s)
  • DELTA REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E UNION ST
    GREENVILLE, MS 38704
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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