Healthcare Provider Details

I. General information

NPI: 1770499923
Provider Name (Legal Business Name): ROPER ST. FRANCIS SPECIALTY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2085 HENRY TECKLENBURG DR STE 106
CHARLESTON SC
29414-7711
US

IV. Provider business mailing address

PO BOX 632709
CINCINNATI OH
45263-2709
US

V. Phone/Fax

Practice location:
  • Phone: 843-958-2550
  • Fax: 843-958-2599
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT R. OLIVERIO JR.
Title or Position: VP AMBULATORY CARE
Credential: MD
Phone: 843-789-9313