Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT OLIVERIO (CEO)
(843) 789-9319
Entity
Organization
Contact information
Practice address
501 CARNES CROSSING BLVD STE B, SUMMERVILLE, SC 29486-0407
(843) 789-1800
(843) 606-8036
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9223
MEDICARE GROUP PTAN
SC
Enumeration date
06/15/2018
Last updated
06/15/2018
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