Organization
PPCP SPECIALTY PHYSICIANS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CUNNINGHAM (CEO)
(843) 572-7727
Entity
Organization
Contact information
Practice address
7 S ALLIANCE DR, STE 202-A, GOOSE CREEK, SC 29445-7269
(843) 376-6070
(843) 376-0669
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29748
SC
Other
Enumeration date
02/21/2017
Last updated
02/28/2022
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