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Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Other names
East Cooper Center for Pelvic Medicine, Novant Health Urogynecology and Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1123 QUEENSBOROUGH BLVD STE 102, MT PLEASANT, SC 29464-3682
(843) 380-8002
Mailing address
PO BOX 604408, CHARLOTTE, NC 28260-4408
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
02/28/2026
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