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	207RH0003X	Hematology & Oncology Physician

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
2	624850300	OTHER	SC	DOL
3	171	OTHER	SC	BCBS SC AND BLUECHOICE SUFFIX

General Provider Information

NPI Number	:	1043571383
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	:	2085 HENRY TECKLENBURG DR STE 320
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-7713
Country	:	US
Telephone Number	:	843-881-5844
Fax Number	:	843-881-5012

Authorized Official
Title or Position	:	VP/CEO RSF PP
Name	:	ROBERT R. OLIVERIO JR.
Credential	:	MD
Telephone Number	:	843-724-2903

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	11/27/2023

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Directions to “ROPER SAINT FRANCIS PHYSICIANS NETWORK ” Practice Location

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