# ST FRANCIS PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST FRANCIS PHYSICIAN SERVICES INC
- **Other names:** Pediatric Urology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538471826
- **Legal business name:** ST FRANCIS PHYSICIAN SERVICES INC
- **Authorized official:** CHERYL M FAIRLEY (VICE PRESIDENT NETWORK OPERATIONS)
- **Authorized official phone:** (864) 605-3755

## Contact information

- **Practice address:** 131 COMMONWEALTH DR, STE. 340, GREENVILLE, SC 29615-4883
- **Practice address phone:** (864) 561-5516
- **Mailing address:** PO BOX 25039, GREENVILLE, SC 29616-0039
- **Mailing address phone:** (864) 561-5516
- **Mailing address fax:** (864) 679-8766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2088P0231X | Pediatric Urology Physician | — | NULL | Yes |
| 2088P0231X | Pediatric Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2010
- **Last updated:** 04/16/2014