Cheraw Foot Center PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

522 Issued in SC

Legal business name

CHERAW FOOT CENTER PC

Practice address

110 S Doctors Dr
Suite B1
Cheraw, SC 29520-7112

Phone

(843) 921-6711

Fax

(843) 921-6717

NPI assigned

Mar 28, 2007

Last updated

Oct 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Eli Cunningham, DPM

Title

Owner

Phone

(843) 921-6711

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1467571919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S DOCTORS DR",
            "address_2": "SUITE B1",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207112",
            "telephone_number": "843-921-6711",
            "fax_number": "843-921-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S DOCTORS DR",
            "address_2": "SUITE B1",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207112",
            "telephone_number": "843-921-6711",
            "fax_number": "843-921-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERAW FOOT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-921-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "522",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.