MEDICARE: ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1629499298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL

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	:	3500 HIGHWAY 17 BYP N
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-9123
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:	843-724-2440

Authorized Official
Title or Position	:	CEO RSFPP
Name	:	MR. DOUGLAS W. BOWLING
Credential	:
Telephone Number	:	843-724-2840

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	02/03/2014

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