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 R. OLIVERIO JR. (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 304, MT PLEASANT, SC 29464
(843) 884-8045
(843) 881-5081
Mailing address
PO BIOX 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
—
107
TRICARE SUFFIX
SC
01
—
113
BCBS SC SUFFIX
SC
01
—
136
BLUECHOICE SUFFIX
SC
01
—
DP0704
RAILROAD MEDICARE GROUP ID
SC
05
—
GP5566
—
SC
Enumeration date
10/22/2010
Last updated
11/27/2023
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