Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Roper St. Francis Physician Partners Urology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R. OLIVERIO MD (VP)
(843) 724-2903
Entity
Organization
Contact information
Practice address
2145 HENRY TECKLENBURG DR STE 100, CHARLESTON, SC 29414-5894
(843) 884-8045
(843) 881-5081
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8559
—
SC
Enumeration date
08/28/2018
Last updated
09/01/2021
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