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East Cooper Physician Group LLC

Organization Active NPI Internal Medicine Physician · Daniel Island, SC

NPI 1639930159 · NPPES record last updated Feb 1, 2024

Key facts

NPI
1639930159
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
EAST COOPER PHYSICIAN GROUP LLC
Practice address
880 Island Park Dr
Daniel Island, SC 29492-2901
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
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

880 Island Park Dr
Daniel Island, SC 29492-2901

Mailing address

PO Box 37642
Belfast, ME 04915-1218

Other providers in Daniel Island, SC

All providers in Daniel Island, SC · Internal Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.