Organization
ST FRANCIS PHYSICIAN SERVICES INC
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC
Other names
Eastside Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Authorized official
WILBUR R GAY III (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
4501 OLD SPARTANBURG RD, TAYLORS, SC 29687-4105
(864) 268-1119
(864) 268-1714
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 268-1119
(864) 268-1714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
149672
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4797
—
SC
Enumeration date
12/01/2006
Last updated
07/02/2019
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