# ST FRANCIS PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST FRANCIS PHYSICIAN SERVICES INC
- **Other names:** Carolina ENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508168410
- **Legal business name:** ST FRANCIS PHYSICIAN SERVICES INC
- **Authorized official:** WILBUR R GAY III (CFO)
- **Authorized official phone:** (864) 605-3762

## Contact information

- **Practice address:** 115 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
- **Practice address phone:** (864) 281-9440
- **Practice address fax:** (864) 281-9443
- **Mailing address:** PO BOX 743294, ATLANTA, GA 30374-3294
- **Mailing address phone:** (864) 281-9440
- **Mailing address fax:** (888) 448-5617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | SC | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 08/22/2019