Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Charleston Neurosurgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BOWLING (CEO ROPER ST FRANCIS PHYSICIAN NETW)
(843) 724-2903
Entity
Organization
Contact information
Practice address
312 BROAD ST, SUMTER, SC 29150-4124
(843) 723-8823
(843) 722-8124
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
GP5006
—
SC
Enumeration date
03/10/2009
Last updated
07/08/2010
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