# ROPER SAINT FRANCIS PHYSICIANS NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roper St. Francis Physician Partners Behavioral Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265925507
- **Authorized official:** ROBERT OLIVERIO (CEO)
- **Authorized official phone:** (843) 789-9319

## Contact information

- **Practice address:** 180 WINGO WAY STE 306, MT PLEASANT, SC 29464-1812
- **Practice address phone:** (843) 884-1777
- **Practice address fax:** (843) 884-0710
- **Mailing address:** PO BOX 751649, CHARLOTTE, NC 28275-1649
- **Mailing address phone:** (843) 789-1620
- **Mailing address fax:** (843) 724-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9223 | MEDICARE GROUP PTAN | SC |