Sports Medicine Specialists Of Charleston

LBN: East Cooper Physician Group Llc
Sports Medicine Specialists Of Charleston is an health care organization with primary practice located at 851 Leonard Fulghum Dr Ste 101 , Mt Pleasant SC 29464-3793. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. East Cooper Physician Group Llc can be contacted via phone (843) 971-9350, or through Rogers, Doreatha via phone (980) 302-7992.

Contact Information

Primary practice address
851 Leonard Fulghum Dr Ste 101 Mt Pleasant SC 29464-3793
Phone: (843) 971-9350
Fax: (843) 971-9351
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
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X

Profile Details

NPI number 1316708456
LBN Legal business name East Cooper Physician Group Llc
DBA Doing business as Sports Medicine Specialists Of Charleston
Authorized official Rogers, Doreatha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2024
Last updated Feb 9th, 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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