| East Cooper Coastal Family Physicians, Llc | |
|
3400 Salterbeck St Suite 100a Mt Pleasant SC 29466-7118 | |
| (843) 849-1300 | |
| (843) 849-1310 |
| Full Name | East Cooper Coastal Family Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3400 Salterbeck St, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Cooper Coastal Family Physicians, Llc Po Box 402096 Atlanta GA 30384-2096 Ph: (843) 849-1300 | East Cooper Coastal Family Physicians, Llc 3400 Salterbeck St Suite 100a Mt Pleasant SC 29466-7118 Ph: (843) 849-1300 |
| NPI Number | 1992932271 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992932271 | NPI | - | NPPES |
| GP5209 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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