Organization
ROPER HOSPITAL, INC
Active
Other names
Roper Hyperbaric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ANTHONY JACKSON (CEO)
(843) 724-2954
Entity
Organization
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2289
(843) 727-3359
Mailing address
PO BOX 632500, CINCINNATI, OH 45263-2500
(888) 472-0043
(513) 653-4122
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPB936
—
SC
Enumeration date
12/08/2017
Last updated
04/13/2026
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