Amber Cunningham, CSFA

Individual provider Active NPI Surgical Assistant · Soddy Daisy, TN

NPI 1366833949 · NPPES record last updated Feb 18, 2015

Key facts

NPI
1366833949
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
License
154939 (TN)
Practice address
1117 Clift Cave Rd
Soddy Daisy, TN 37379-5706
Phone
(423) 847-5142
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
154939TNMDSurgical Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 154939 TN Yes

Addresses

Primary practice location

1117 Clift Cave Rd
Soddy Daisy, TN 37379-5706

Mailing address

1117 Clift Cave Rd
Soddy Daisy, TN 37379-5706
Phone (423) 847-5142

Other providers in Soddy Daisy, TN

All providers in Soddy Daisy, TN · Surgical Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.