Active NPIOrganization

East Cooper Physician Group LLC

Internal Medicine, Sports Medicine in Mt Pleasant, South Carolina

NPI Number1316708456
Practice location
851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 29464-3793
Fax
843-971-9351
Last updated
February 9, 2024

East Cooper Physician Group LLC is a healthcare organization based in Mt Pleasant, SC. East Cooper Physician Group LLC practices in Mt Pleasant, SC. The NPI Number for East Cooper Physician Group LLC is 1316708456. The current practice location address for East Cooper Physician Group LLC is 851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 29464-3793 and can be reached out via phone at 843-971-9350 and via fax at 843-971-9351.

Provider Profile Details

NPI Number
1316708456
Provider Name
East Cooper Physician Group LLC
Provider Entity Type
Organization
Address
851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 29464-3793
Phone Number
843-971-9350
Fax Number
843-971-9351
Primary Taxonomy
Internal Medicine, Sports Medicine · 207RS0010X
Organization Subpart
No
Authorized Official
Doreatha Rogers · Rcs Manager · 980-302-7992
Other Names
Sports Medicine Specialists Of Charleston (Doing Business As)
Provider Enumeration Date
January 16, 2024
Last Update Date
February 9, 2024
Certification Date
February 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
851 Leonard Fulghum Dr Ste 101
Mt Pleasant, SC 29464-3793
Zip
29464-3793
Phone Number
843-971-9350
Fax Number
843-971-9351
Mt Pleasant, SC 29464Get directions →

Provider Business Mailing Address Details

Address
Po Box 37642
Belfast, ME 04915-1218
City
Belfast
State
ME
Zip
04915-1218

License Information

Taxonomy (1)
Internal Medicine · 207R00000X
Taxonomy (2)
Internal Medicine, Sports Medicine · 207RS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of East Cooper Physician Group LLC?

The NPI number of East Cooper Physician Group LLC is 1316708456. It was assigned on January 16, 2024 and is currently active in the NPPES registry.

What is the specialty of East Cooper Physician Group LLC?

East Cooper Physician Group LLC is registered under the primary taxonomy Internal Medicine, Sports Medicine (code 207RS0010X).

Where does East Cooper Physician Group LLC practice?

The practice location is 851 Leonard Fulghum Dr Ste 101, Mt Pleasant, SC 29464-3793. The office can be reached at 843-971-9350 (phone) or 843-971-9351 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316708456 directly on the NPPES registry website.

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