Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Srp Medical LLC

Organization Nurse Practitioner · NPI 1881485662

Srp Medical LLC is a Nurse Practitioner in Charleston, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1445 Bluewater Way
Charleston, SC 29414-7923
Phone: (407) 516-3756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1881485662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonya Puckett — Owner · (407) 516-3756
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address742 Saint Andrews Blvd, Charleston, SC 29407-7169

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