NPI | 1861253981 |
---|---|
Doing Business As | EAST COOPER PHYSICIAN GROUP LLC |
Entity Type | Organization |
Authorized Contact | DOREATHA ROGERS Rcs Manager 980-302-7992 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-24 |