Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Palmetto Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BOWLING (VP RSFPP)
(843) 724-2910
Entity
Organization
Contact information
Practice address
2075 EAGLE LANDING BLVD, N CHARLESTON, SC 29406-4074
(843) 881-9158
(843) 971-1105
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP ID-RSFPN
SC
Enumeration date
07/19/2011
Last updated
07/20/2011
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