MEDICARE: ST FRANCIS PHYSICIAN SERVICES INC

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	207Q00000X	Family Medicine 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

General Provider Information

NPI Number	:	1932159761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST FRANCIS PHYSICIAN SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 743294
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3294
Country	:	US
Telephone Number	:	864-297-6010
Fax Number	:	864-458-7673

Provider Business Practice Location Address
First Line	:	12 ARBORLAND WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-2201
Country	:	US
Telephone Number	:	864-297-6010
Fax Number	:	864-458-7673

Authorized Official
Title or Position	:	VICE PRESIDENT OF FINANCE-BSMG
Name	:	WILBUR R GAY III
Credential	:
Telephone Number	:	864-605-3762

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	12/01/2016

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Directions to “ST FRANCIS PHYSICIAN SERVICES INC ” Practice Location

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