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Organization

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Active
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Organization

ROPER SAINT FRANCIS PHYSICIANS NETWORK

Active
Other names
Roper St. Francis Physician Partners Urology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J. OLIVERIO JR. (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization

Contact information

Practice address
3510 HIGHWAY 17 BYP N STE 110, MT PLEASANT, SC 29466-8228
(843) 884-8045
(843) 881-5081
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119
TRICARE SUFFIX
SC
01
—
122
BCBS SC SUFFIX
SC
01
—
149
BLUECHOICE SUFFIX
SC
05
—
GP5650
—
SC
Enumeration date
04/06/2011
Last updated
12/28/2020
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