Organization
ST FRANCIS PHYSICIAN SERVICES INC
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC
Other names
Pediatric Urology Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Authorized official
CHERYL M FAIRLEY (VICE PRESIDENT NETWORK OPERATIONS)
(864) 605-3755
Entity
Organization
Contact information
Practice address
131 COMMONWEALTH DR, STE. 340, GREENVILLE, SC 29615-4883
(864) 561-5516
Mailing address
PO BOX 25039, GREENVILLE, SC 29616-0039
(864) 561-5516
(864) 679-8766
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
07/02/2010
Last updated
04/16/2014
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