Organization
BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Active
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) 789-1620
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
SC
207RI0011X
Interventional Cardiology Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9476
MEDICARE PIN
—
05
—
GP5369
—
SC
Enumeration date
02/17/2010
Last updated
04/05/2018
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