Organization
ST FRANCIS PHYSICIAN SERVICES INC
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC
Other names
Upstate Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Authorized official
WILBUR R GAY III (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
2 INNOVATION DR STE 400, GREENVILLE, SC 29607-5270
(864) 235-7665
(864) 233-5971
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 235-7665
(864) 233-5971
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC5476
RAILROAD MEDICARE PTAN
SC
05
—
GP0975
—
SC
Enumeration date
05/21/2008
Last updated
06/28/2019
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