Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J. OLIVERIO JR. MD (VP/CEO RSFPP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
4630 HIGHWAY 17, MURRELLS INLET, SC 29576-5016
(843) 720-8490
(843) 606-8063
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
GP5250
—
SC
Enumeration date
04/16/2009
Last updated
01/15/2018
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