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
104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
(843) 567-3206
(843) 567-3287
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 572-7727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13550
SC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
13550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0169
—
SC
Enumeration date
02/17/2006
Last updated
05/06/2026
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