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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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