| Roper Saint Francis Physicians Network | |
|
2097 Henry Tecklenburg Dr Ste 211w Charleston SC 29414 | |
| (843) 958-2555 | |
| (843) 402-1961 |
| Full Name | Roper Saint Francis Physicians Network |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 2097 Henry Tecklenburg Dr Ste 211w, Charleston, South Carolina |
| Authorized Official Name and Position | Robert R. Oliverio (VP/CEO RSFPP) |
| Authorized Official Contact | 8437242903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roper Saint Francis Physicians Network Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | Roper Saint Francis Physicians Network 2097 Henry Tecklenburg Dr Ste 211w Charleston SC 29414 Ph: (843) 958-2555 |
| NPI Number | 1679950281 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679950281 | NPI | - | NPPES |
| 614387336 | Other | SC | DOL |
| 280 | Other | SC | BCBS SC AND BLUECHOICE SURFFIX |
| GP6953 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (South Carolina) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (South Carolina) | Primary |
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