High Tide Internal Medicine - East Cooper Medical Group

LBN: East Cooper Physician Group Llc
High Tide Internal Medicine - East Cooper Medical Group is an health care organization with primary practice located at 880 Island Park Dr Unit 220 , Daniel Island SC 29492-2902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. East Cooper Physician Group Llc can be contacted via phone (843) 380-9330, or through Rogers, Doreatha via phone (980) 302-7992.

Contact Information

Primary practice address
880 Island Park Dr Unit 220 Daniel Island SC 29492-2902
Phone: (843) 380-9330
Fax: (843) 380-8212
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Doreatha
Phone: (980) 302-7992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1255192308
LBN Legal business name East Cooper Physician Group Llc
DBA Doing business as High Tide Internal Medicine - East Cooper Medical Group
Authorized official Rogers, Doreatha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2024
Last updated Jan 22nd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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