Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 956-6071
Entity
Organization
Contact information
Practice address
9221 UNIVERSITY BLVD STE 2D, NORTH CHARLESTON, SC 29406-9148
(843) 569-1856
(843) 569-1879
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
Enumeration date
09/17/2019
Last updated
02/28/2022
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