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Organization

EAST COOPER PHYSICIAN GROUP LLC

Active
Other names
East Cooper General Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DOREATHA ROGERS (RCS MANAGER)
(980) 302-7992
Entity
Organization

Contact information

Practice address
1280 HOSPITAL DR UNIT 302, MT PLEASANT, SC 29464-1901
(999) 999-9999
Mailing address
PO BOX 604408, CHARLOTTE, NC 28260-4408

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/22/2024
Last updated
02/28/2026
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