Elizabeth Ann Cunningham, COTA
Individual provider Active NPI Contractor · Charleston, SC
NPI 1720207822 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720207822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 0932 (NC)
- Practice address
- 1941 Savage Rd
Suite 400C
Charleston, SC 29407-4704 - Phone
- (843) 571-2700
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0932 | NC | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 0932 | NC | Yes |
Addresses
Primary practice location
1941 Savage Rd
Suite 400C
Charleston, SC 29407-4704
Mailing address
300 Brook Creek Dr
Cary, NC 27519-6123
Phone (919) 372-7244
Other providers in Charleston, SC
- Tamara Renee Cunha
- Aaron Cunningham
- Allison Cunningham
- Brittany Ashlyn Cunningham
- Conor Cunningham
- Emily Caroline Cunningham
- Erin M Cunningham
- Holland Brown Cunningham
- Melissa Anne Cunningham
- Frank Anthony Cuoco Jr.
All providers in Charleston, SC · Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.