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Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 695-6071
Entity
Organization
Contact information
Practice address
3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
(803) 799-1922
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
02/28/2022
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