Organization
EAST COOPER OBGYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
851 LEONARD FULGHUM BLVD, SUITE 200, MT PLEASANT, SC 29464-3787
(843) 856-3262
(843) 856-3268
Mailing address
PO BOX 742774, ATLANTA, GA 30374-2774
(843) 856-3262
(843) 856-3268
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6324
—
SC
Enumeration date
09/25/2013
Last updated
06/06/2016
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