| Ppcp Specialty Physicians , Llc | |
|
1200 Two Island Ct Unit E Mt Pleasant SC 29466-7418 | |
| (843) 376-2670 | |
| (843) 376-0669 |
| Full Name | Ppcp Specialty Physicians , Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1200 Two Island Ct Unit E, Mt Pleasant, 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 1200 Two Island Ct Unit E Mt Pleasant SC 29466-7418 Ph: (843) 376-2670 |
| NPI Number | 1144810987 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144810987 | NPI | - | NPPES |
| PG0265 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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