Provider Demographics
NPI:1285253500
Name:CUNNINGHAM, EMILY RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:RUTH
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 BEAMAN OLD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WALSTONBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27888-9574
Mailing Address - Country:US
Mailing Address - Phone:252-917-4109
Mailing Address - Fax:
Practice Address - Street 1:721 FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-2007
Practice Address - Country:US
Practice Address - Phone:757-446-7934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program