Organization
EAST COOPER COASTAL FAMILY PHYSICIANS, 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
3400 SALTERBECK ST, SUITE 100A, MT PLEASANT, SC 29466-7118
(843) 849-1300
(843) 849-1310
Mailing address
PO BOX 402096, ATLANTA, GA 30384-2096
(843) 849-1300
(843) 849-1310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5209
—
SC
Enumeration date
06/15/2009
Last updated
09/14/2016
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