Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Palmetto Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BOWLING (VP RSFPN)
(843) 724-2903
Entity
Organization
Contact information
Practice address
416 ROBERTSON BLVD, SUITE B, WALTERBORO, SC 29488-2952
(843) 881-9159
(843) 971-1105
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
GP9892
—
SC
Enumeration date
04/14/2010
Last updated
07/08/2010
Update your record
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