MEDICARE: EAST COOPER RHEUMATOLOGY, PA

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	207RR0500X	Rheumatology Physician	9033	SC

General Provider Information

NPI Number	:	1932435039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST COOPER RHEUMATOLOGY, PA

Provider Business Mailing Address
First Line	:	890 JOHNNIE DODDS BLVD
Second Line	:	SUITE 2-A
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-6129
Country	:	US
Telephone Number	:	843-881-9971
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 JOHNNIE DODDS BLVD
Second Line	:	SUITE 2-A
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-6129
Country	:	US
Telephone Number	:	843-881-9971
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PRESIDENT
Name	:	DR. FRANK EDWARD HARPER
Credential	:
Telephone Number	:	843-881-9971

Provider Enumeration Date	:	10/23/2009
Last Update Date	:	10/23/2009

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