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NPI Code Detail

MEDICARE: ROPER SAINT FRANCIS PHYSICIANS NETWORK

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
1208C00000XColon & Rectal Surgery Physician

General Provider Information

NPI Number : 1063022739
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 : 1807 CROWNE COMMONS WAY STE F1
Second Line :
City : JOHNS ISLAND
State : SC
Zip : 29455-4931
Country : US
Telephone Number : 843-958-1281
Fax Number : 843-958-1278
Authorized Official
Title or Position : CEO
Name : ROBERT OLIVERIO
Credential :
Telephone Number : 843-789-9319
Provider Enumeration Date : 08/06/2020
Last Update Date : 11/27/2023

Similar Medicare Providers

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Practice Location Address:
1807 CROWNE COMMONS WAY
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Practice Fax: 843-203-2281
1093740029 — VANESSA LEE MCPHERSON MD
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1316965338 — BRIAN DAVID DEWHIRST MD
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1093163339 — DR. JULIA KILLINGSWORTH ISOM D.O.
Practice Location Address:
1807 CROWNE COMMONS WAY
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1740805449 — DR. MARGARET KATHLEEN ROTH MD
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1306650932 — SOUTH CAROLINA INTEGRATIVE HEALTH INC.
Practice Location Address:
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Practice Fax:

Directions to “ROPER SAINT FRANCIS PHYSICIANS NETWORK ” Practice Location

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