Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Other names
East Cooper Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DOREATHA ROGERS (RCS MANAGER)
(980) 302-7992
Entity
Organization
Contact information
Practice address
1625 HOSPITAL DR STE 360, MT PLEASANT, SC 29464-5293
(843) 936-5951
(843) 936-5952
Mailing address
PO BOX 37642, BELFAST, ME 04915-1218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
02/28/2026
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