East Cooper Physician Group LLC
Internal Medicine in Daniel Island, South Carolina
1942071667- Practice location
- 880 Island Park Dr Unit 230, Daniel Island, SC 29492-2902
- Phone
- 843-380-9330
- Fax
- —
- Last updated
- September 2, 2025
East Cooper Physician Group LLC is a healthcare organization based in Daniel Island, SC. East Cooper Physician Group LLC practices in Daniel Island, SC. The NPI Number for East Cooper Physician Group LLC is 1942071667. The current practice location address for East Cooper Physician Group LLC is 880 Island Park Dr Unit 230, Daniel Island, SC 29492-2902 and can be reached out via phone at 843-380-9330.
Provider Profile Details
- NPI Number
- 1942071667
- Provider Name
- East Cooper Physician Group LLC
- Provider Entity Type
- Organization
- Address
- 880 Island Park Dr Unit 230, Daniel Island, SC 29492-2902
- Phone Number
- 843-380-9330
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Doreatha Rogers · Rcs Manager · 980-302-7992
- Other Names
- Revela Assisted Living (Doing Business As)
- Provider Enumeration Date
- January 11, 2024
- Last Update Date
- September 2, 2025
- Certification Date
- February 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 880 Island Park Dr Unit 230
Daniel Island, SC 29492-2902 - City
- Daniel Island
- State
- South Carolina
- Zip
- 29492-2902
- Phone Number
- 843-380-9330
Provider Business Mailing Address Details
- Address
- Po Box 37642
Belfast, ME 04915-1218 - City
- Belfast
- State
- ME
- Zip
- 04915-1218
License Information
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1942071667. It was assigned on January 11, 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 (code 207R00000X).
Where does East Cooper Physician Group LLC practice?
The practice location is 880 Island Park Dr Unit 230, Daniel Island, SC 29492-2902. The office can be reached at 843-380-9330 (phone).
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 1942071667 directly on the NPPES registry website.