Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Other names
The Comprehensive Wound Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOREATHA ROGERS (RCS MANAGER)
(980) 302-7992
Entity
Organization
Contact information
Practice address
1156 BOWMAN RD UNIT 103, MT PLEASANT, SC 29464-3803
(000) 000-0000
Mailing address
PO BOX 37642, BELFAST, ME 04915-1218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/25/2024
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