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East Cooper Physician Group LLC

Obstetrics & Gynecology in Mt Pleasant, SC. Organization (NPI-2).

NPI number1750142246
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1750142246
Entity type
Organization (NPI-2)
Legal business name
East Cooper Physician Group LLC
Organization subpart
No
Enumeration date
Jan 22, 2024
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology––Yes

Practice location

3500 N Highway 17
Mt Pleasant, SC 29466-9123

Phone 843-884-5200 · Fax 843-884-6417

Mailing address

Po Box 37642
Belfast, ME 04915-1218

Authorized official

Doreatha Rogers
Rcs Manager
9803027992

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