Organization
ROPER HOSPITAL INC.
Active
Other names
Roper Heart Center Walterboro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ANTHONY JACKSON (CEO)
(843) 724-2954
Entity
Organization
Contact information
Practice address
416 ROBERTSON BLVD, SUITE B, WALTERBORO, SC 29488-2952
(843) 782-4608
(843) 549-2421
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5081
—
SC
Enumeration date
11/18/2010
Last updated
11/27/2023
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