Organization
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Active
Other names
Harborside OB-GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BOWLING (CEO ROPER SAINT FRANCIS PHYSICIANS)
(843) 724-2903
Entity
Organization
Contact information
Practice address
570 LONG POINT RD, SUITE 130, MT PLEASANT, SC 29464-7930
(843) 789-1800
(843) 724-1306
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP0704
RAILROAD MEDICARE GROUP PTAN
SC
05
—
GP5127
—
SC
Enumeration date
03/17/2009
Last updated
07/08/2010
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