Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. OLIVERIO JR. (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
2145 HENRY TECKLENBURG DR, SUITE 220W, CHARLESTON, SC 29414-5893
(843) 606-7246
(843) 606-8085
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9223
MEDICARE PTAN
SC
Enumeration date
06/26/2013
Last updated
01/15/2018
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