Provider Demographics
NPI:1396108726
Name:CUNNINGHAM, HILARY HERMECZ (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:HERMECZ
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:LEIGH
Other - Last Name:HERMECZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:405 N SECTION ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2613
Mailing Address - Country:US
Mailing Address - Phone:251-990-8860
Mailing Address - Fax:
Practice Address - Street 1:405 N SECTION ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2613
Practice Address - Country:US
Practice Address - Phone:251-990-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-02
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7806363A00000X
ALPA.1623363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant