Healthcare Provider Details

I. General information

NPI: 1922977297
Provider Name (Legal Business Name): ROPER ST. FRANCIS SPECIALTY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8536 PALMETTO COMMERCE PKWY STE 501
LADSON SC
29456-6700
US

IV. Provider business mailing address

PO BOX 632709
CINCINNATI OH
45263-2709
US

V. Phone/Fax

Practice location:
  • Phone: 843-958-2590
  • Fax:
Mailing address:
  • Phone: 888-472-0043
  • Fax: 843-724-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NICOLE WOLPERT
Title or Position: REIMBURSEMENT COORDINATOR
Credential:
Phone: 843-789-1633