Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners Urology
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
730 STONY LANDING RD STE 200, MONCKS CORNER, SC 29461
(843) 884-8045
(843) 881-5081
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109
TRICARE SUFFIX
SC
01
—
115
BCBS SC SUFFIX
SC
01
—
138
BLUECHOICE SUFFIX
SC
01
—
D0704
RAILROAD MEDICARE ID
SC
05
—
GP5568
—
SC
Enumeration date
10/21/2010
Last updated
07/05/2018
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