MEDICARE: ROPER SAINT FRANCIS PHYSICIANS NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician		SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043556368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROPER SAINT FRANCIS PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	3510 HIGHWAY 17 N
Second Line	:	SUITE 325
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-8232
Country	:	US
Telephone Number	:	843-884-8045
Fax Number	:	843-881-5081

Authorized Official
Title or Position	:	CEO RSFPP
Name	:	DOUGLAS W. BOWLING
Credential	:
Telephone Number	:	843-724-2480

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	01/22/2016

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Directions to “ROPER SAINT FRANCIS PHYSICIANS NETWORK ” Practice Location

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