Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners Breast Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R. OLIVERIO JR. MD (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
1112 N MAIN ST, SUITE C, SUMMERVILLE, SC 29483
(843) 606-7020
(843) 606-7019
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
SC
2086X0206X
Surgical Oncology Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022
BCBS SC AND BLUECHOICE SUFFIX
SC
05
—
GP7197
—
SC
Enumeration date
09/20/2016
Last updated
11/27/2023
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