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
ROBERT OLIVERIO (CEO)
(843) 789-9319
Entity
Organization
Contact information
Practice address
180 WINGO WAY STE 306, MT PLEASANT, SC 29464-1812
(843) 884-1777
(843) 884-0710
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
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9223
MEDICARE GROUP PTAN
SC
Enumeration date
06/12/2018
Last updated
11/27/2023
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