# PPCP SPECIALTY PHYSICIANS , LLC

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

## Provider details

- **NPI number:** 1780123984
- **Authorized official:** TERRY CUNNINGHAM (CEO)
- **Authorized official phone:** (843) 572-7727

## Contact information

- **Practice address:** 7 S ALLIANCE DR, STE 202-A, GOOSE CREEK, SC 29445-7269
- **Practice address phone:** (843) 376-6070
- **Practice address fax:** (843) 376-0669
- **Mailing address:** PO BOX 530062, ATLANTA, GA 30353-0062
- **Mailing address phone:** (843) 695-6071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 29748 | SC | Yes |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/28/2022