| East Cooper Physician Group Llc | |
|
202 Nexton Square Dr Summerville SC 29486-7911 | |
| (843) 420-9001 | |
| (843) 420-1025 |
| Full Name | East Cooper Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 Nexton Square Dr, Summerville, South Carolina |
| Authorized Official Name and Position | Doreatha Rogers (RCS MANAGER) |
| Authorized Official Contact | 9803027992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cooper Physician Group Llc Po Box 37642 Belfast ME 04915-1218 Ph: () - | East Cooper Physician Group Llc 202 Nexton Square Dr Summerville SC 29486-7911 Ph: (843) 420-9001 |
| NPI Number | 1982475604 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982475604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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