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East Cooper Physician Group LLC

Organization Active NPI Gastroenterology Physician · Daniel Island, SC

NPI 1306607809 · NPPES record last updated Feb 1, 2024

Key facts

NPI
1306607809
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
EAST COOPER PHYSICIAN GROUP LLC
Practice address
880 Island Park Dr Unit 230
Daniel Island, SC 29492-2902
Phone
(843) 380-9330
NPI assigned
Jan 22, 2024
Organization subpart
No

Authorized official

Name
Doreatha Rogers
Title
RCS Manager
Phone
(980) 302-7992

Corporate family (same tax ID) 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

National Provider Directory

Tax ID family
East Cooper Physician Group LLC (49 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

880 Island Park Dr Unit 230
Daniel Island, SC 29492-2902

Mailing address

PO Box 37642
Belfast, SC 04915-1218

Other providers in Daniel Island, SC

All providers in Daniel Island, SC · Gastroenterology Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.