Organization
ST FRANCIS PHYSICIAN SERVICES INC
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC
Other names
Internal Medicine and Diagnostic Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC
Authorized official
WILBUR R GAY III (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
2 INNOVATION DR., SUITE 140, GREENVILLE, SC 29607-5263
(864) 295-1750
(864) 295-1753
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 295-1750
(864) 295-1753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5049
—
SC
Enumeration date
11/05/2008
Last updated
07/02/2019
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