Organization
EAST COOPER PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREATHA ROGERS (RCS MANAGER)
(980) 302-7992
Entity
Organization
Contact information
Practice address
3500 N HIGHWAY 17, MT PLEASANT, SC 29466-9123
(843) 884-5200
(843) 884-6417
Mailing address
PO BOX 37642, BELFAST, ME 04915-1218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
02/01/2024
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