Organization
ST FRANCIS PHYSICIAN SERVICES INC
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC
Other names
James C Mensone, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Authorized official
WILBUR R GAY III (VICE PRESIDENT FINANCE-BSMG)
(864) 605-3762
Entity
Organization
Contact information
Practice address
10 ENTERPRISE BLVD STE 112, GREENVILLE, SC 29615-3534
(864) 297-4093
(864) 297-4095
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 297-4093
(864) 297-4095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5821
—
SC
Enumeration date
12/12/2008
Last updated
10/18/2016
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