Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Other names
Novant Health West Ashley Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
10B FARMFIELD AVE, CHARLESTON, SC 29407-7704
(854) 287-3135
(854) 287-3136
Mailing address
PO BOX 604408, CHARLOTTE, NC 28260-4408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
02/28/2026
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