# ROPER SAINT FRANCIS PHYSICIANS NETWORK

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

## Provider details

- **NPI number:** 1497065692
- **Authorized official:** DR. ROBERT J. OLIVERIO JR. (VP/CEO RSFPP)
- **Authorized official phone:** (843) 724-2903

## Contact information

- **Practice address:** 730 STONY LANDING RD STE 200, MONCKS CORNER, SC 29461
- **Practice address phone:** (843) 884-8045
- **Practice address fax:** (843) 881-5081
- **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 |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | SC | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 07/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 109 | TRICARE SUFFIX | SC |
| 01 | — | 115 | BCBS SC SUFFIX | SC |
| 01 | — | 138 | BLUECHOICE SUFFIX | SC |
| 01 | — | D0704 | RAILROAD MEDICARE ID | SC |
| 05 | — | GP5568 | — | SC |