Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. OLIVERIO JR. MD (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, CHARLESTON, SC 29403
(843) 958-2555
(843) 402-1961
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
SC
2084P0802X
Addiction Psychiatry Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241
TRICARE
SC
01
—
279
BCBS SC AND BLUECHOICE
—
05
—
GP6950
—
SC
Enumeration date
05/04/2015
Last updated
07/09/2018
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