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
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