Ppcp Specialty Physicians , Llc | |
899 Island Park Dr Ste 200 Daniel Island SC 29492-8114 | |
(843) 856-6402 | |
(843) 216-5068 |
Full Name | Ppcp Specialty Physicians , Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 899 Island Park Dr Ste 200, Daniel Island, South Carolina |
Authorized Official Name and Position | Terry Cunningham (CEO) |
Authorized Official Contact | 8436956071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ppcp Specialty Physicians , Llc Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Ppcp Specialty Physicians , Llc 899 Island Park Dr Ste 200 Daniel Island SC 29492-8114 Ph: (843) 856-6402 |
NPI Number | 1063914992 |
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Provider Enumeration Date | 03/07/2018 |
Last Update Date | 02/28/2022 |
Certification Date | 02/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063914992 | NPI | - | NPPES |
GP8357 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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