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Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 572-7727
Entity
Organization
Contact information
Practice address
1401 MAIN ST, BONNEAU, SC 29431-5022
(843) 825-3404
(843) 825-3407
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 825-3404
(843) 825-3407
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DPE076
MEDICAID DIABETES EDU
SC
05
—
GP3659
—
SC
Enumeration date
06/07/2006
Last updated
05/29/2026
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