Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 695-6071
Entity
Organization
Contact information
Practice address
899 ISLAND PARK DR STE 200, DANIEL ISLAND, SC 29492-8114
(843) 856-6402
(843) 216-5068
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8357
—
SC
Enumeration date
03/07/2018
Last updated
02/28/2022
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