Ppcp Specialty Physicians , LLC
Internal Medicine, Gastroenterology in Charleston, SC. Organization (NPI-2).
NPI number1154886471
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1154886471
- Entity type
- Organization (NPI-2)
- Legal business name
- Ppcp Specialty Physicians , LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2019
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
3030 Ashley Town Center Dr Ste 102aCharleston, SC 29414-5678
Phone 843-258-4994 · Fax 843-507-8623
Mailing address
Po Box 530062Atlanta, GA 30353-0062
Phone 843-695-6071
Authorized official
Terry Cunningham
Ceo
8436956071
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