# PALMETTO PRIMARY CARE PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Advanced Therapy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306480702
- **Authorized official:** TERRY CUNNINGHAM CEO (DIRECTOR)
- **Authorized official phone:** (843) 695-6071

## Contact information

- **Practice address:** 5500 FRONT ST STE 203, SUMMERVILLE, SC 29486-8137
- **Practice address phone:** (843) 879-4060
- **Practice address fax:** (854) 220-0120
- **Mailing address:** PO BOX 530062, ATLANTA, GA 30353-0062
- **Mailing address phone:** (843) 695-6071
- **Mailing address fax:** (843) 569-5881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 10/11/2022