MEDICARE: EAST COOPER PHYSICIAN GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1972374684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST COOPER PHYSICIAN GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 604408
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-4408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 LEONARD FULGHUM DR STE 200
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3793
Country	:	US
Telephone Number	:	843-856-3262
Fax Number	:	843-856-3268

Authorized Official
Title or Position	:	RCS MANAGER
Name	:	DOREATHA ROGERS
Credential	:
Telephone Number	:	980-302-7992

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	02/28/2026

Similar Medicare Providers

1497526123 — EAST COOPER PHYSICIAN GROUP LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 201
MT PLEASANT, SC
29464-3793

Practice Phone: 843-884-5133
Practice Fax: 843-849-3343

1679334700 — EAST COOPER PHYSICIAN GROUP LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 100
MT PLEASANT, SC
29464-3793

Practice Phone: 843-884-2133
Practice Fax: 843-884-2868

1154433852 — MRS. SARAH BRANYON VOGES APRN, ATC, FNP-C
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-971-9350
Practice Fax: 943-971-9351

1487276580 — JOHN DAVISON SCHULTE PA-C
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-971-9350
Practice Fax:

1831797992 — EAST COOPER PHYSICIAN NETWORK, LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-884-2133
Practice Fax: 843-884-2688

1093586885 — EAST COOPER PHYSICIAN GROUP LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-884-2133
Practice Fax:

Directions to “EAST COOPER PHYSICIAN GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.