Organization
BON SECOURS ST. FRANCIS XAVIER HOSPTIAL, INC.
Active
Other names
St. Francis IP Neurology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A. JACKSON (CEO)
(843) 724-2952
Entity
Organization
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 724-2450
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7153
—
SC
Enumeration date
01/05/2016
Last updated
04/29/2019
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