Organization
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Active
Other names
PPCP Fraser
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 572-7727
Entity
Organization
Contact information
Practice address
1001 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 695-6071
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 572-7727
(843) 569-5899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0958
—
SC
Enumeration date
04/06/2022
Last updated
05/28/2026
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