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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
5500 FRONT ST STE 230, SUMMERVILLE, SC 29486-7735
(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

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP9819
SC
Enumeration date
09/14/2020
Last updated
02/28/2022
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