| 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 |
|---|---|
| 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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