# PALMETTO PRIMARY CARE PHYSICIANS, LLC

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

## Provider details

- **NPI number:** 1508830217
- **Authorized official:** TERRY CUNNINGHAM (CEO)
- **Authorized official phone:** (843) 572-7727

## Contact information

- **Practice address:** 104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
- **Practice address phone:** (843) 567-3206
- **Practice address fax:** (843) 567-3287
- **Mailing address:** PO BOX 530062, ATLANTA, GA 30353-0062
- **Mailing address phone:** (843) 572-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13550 | SC | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 13550 | SC | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 05/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PA0169 | — | SC |