Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Other names
Palmetto Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY J POKORNY (CREDENTIALING COORDINATOR)
(843) 810-4223
Entity
Organization
Contact information
Practice address
3495 IRON HORSE RD, LADSON, SC 29456-4319
(843) 820-3453
(843) 594-5405
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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