Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Other names
Novant Health Mullis Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
851 LEONARD FULGHUM DR STE 100, MT PLEASANT, SC 29464-3793
(843) 884-2133
(843) 884-2868
Mailing address
PO BOX 604408, CHARLOTTE, NC 28260-4408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
02/28/2026
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