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NPI Code Detail

MEDICARE: ROPER ST. FRANCIS EXPRESS CARE

MEDICARE: ROPER ST. FRANCIS EXPRESS CARE
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
1305S00000XPoint of Service20489SC

General Provider Information

NPI Number : 1033652730
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROPER ST. FRANCIS EXPRESS CARE
Provider Business Mailing Address
First Line : 5070 INTERNATIONAL BLVD STE 131
Second Line :
City : CHARLESTON
State : SC
Zip : 29418-6007
Country : US
Telephone Number : 843-163-7906
Fax Number :
Provider Business Practice Location Address
First Line : 5070 INTERNATIONAL BLVD STE 131
Second Line :
City : CHARLESTON
State : SC
Zip : 29418-6007
Country : US
Telephone Number : 843-763-7906
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : MRS. DIANE HARPER MCNEIL
Credential : NP-FNP
Telephone Number : 843-763-7906
Provider Enumeration Date : 11/29/2016
Last Update Date : 11/29/2016

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Directions to “ROPER ST. FRANCIS EXPRESS CARE ” Practice Location

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