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Organization

ROPER HOSPITAL, INC.

Active
Other names
Roper St. Francis PET-CT Imaging Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRET JOHNSON (CFO)
(843) 724-2946
Entity
Organization

Contact information

Practice address
2145 HENRY TECKLENBURG DR, SUITE 120, CHARLESTON, SC 29414-5893
(843) 789-1633
(843) 724-2454
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1633
(843) 724-2454

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3175
SC
Enumeration date
06/13/2006
Last updated
11/14/2007
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