Organization
EAST COOPER COASTAL FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE OLSON (PRACTICE MANAGER)
(843) 849-1300
Entity
Organization
Contact information
Practice address
1200 TWO ISLAND COURT SUITE E, MT PLEASANT, SC 29464
(843) 849-1300
Mailing address
1200 TWO ISLAND COURT SUITE E, MT PLEASANT, SC 29464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1798
SC
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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