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
213 W 4TH NORTH ST, SUMMERVILLE, SC 29483-6541
(843) 873-0681
(843) 873-2749
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 572-7727
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
11567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1553
—
SC
Enumeration date
06/09/2006
Last updated
05/08/2026
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