Healthcare Provider Details

I. General information

NPI: 1922571223
Provider Name (Legal Business Name): ROPER SAINT FRANCIS PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 11/27/2023
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 HENRY TECKLENBURG DR STE 100
CHARLESTON SC
29414-5894
US

IV. Provider business mailing address

PO BOX 751649
CHARLOTTE NC
28275-1649
US

V. Phone/Fax

Practice location:
  • Phone: 843-577-7550
  • Fax: 843-853-5588
Mailing address:
  • Phone: 843-789-1620
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT R. OLIVERIO
Title or Position: CEO
Credential:
Phone: 843-789-9319