# PPCP SPECIALTY PHYSICIANS , LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PPCP SPECIALTY PHYSICIANS , LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093585044
- **Legal business name:** PPCP SPECIALTY PHYSICIANS , LLC
- **Authorized official:** JOLINDA L PHILLIPS (SR ANALYST OF REVENUE CYCLE)
- **Authorized official phone:** (843) 572-7727

## Contact information

- **Practice address:** 9313 MEDICAL PLAZA DR STE 202, CHARLESTON, SC 29406-9176
- **Practice address phone:** (843) 572-1200
- **Mailing address:** PO BOX 530062, ATLANTA, GA 30353-0062
- **Mailing address phone:** (843) 572-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2024
- **Last updated:** 01/02/2024