Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Mt Pleasant Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BOWLING (VP RSFPN)
(843) 724-2903
Entity
Organization
Contact information
Practice address
1859 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 606-8985
(843) 606-8986
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TL32407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
GP5454
—
SC
Enumeration date
06/10/2010
Last updated
09/16/2010
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