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
(843) 402-1037
(843) 402-1295
Mailing address
PO BOX 602645, CHARLOTTE, NC 28260-2645
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5798
—
SC
Enumeration date
09/29/2011
Last updated
11/27/2023
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