# PPCP SPECIALTY PHYSICIANS , LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285248781
- **Authorized official:** TERRY CUNNINGHAM (CEO)
- **Authorized official phone:** (843) 695-6071

## Contact information

- **Practice address:** 3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
- **Practice address phone:** (803) 799-1922
- **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 |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 02/28/2022