# PPCP SPECIALTY PHYSICIANS , LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164159547
- **Authorized official:** CATHY J POKORNY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (843) 810-4223

## Contact information

- **Practice address:** 3495 IRON HORSE RD, LADSON, SC 29456-4319
- **Practice address phone:** (843) 820-3453
- **Practice address fax:** (843) 594-5405
- **Mailing address:** PO BOX 530062, ATLANTA, GA 30353-0062
- **Mailing address phone:** (843) 695-6071
- **Mailing address fax:** (843) 569-5879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2022
- **Last updated:** 08/04/2022