| Roper St. Francis Physician Partners Behavioral Medicine | |
|
125 Doughty St Charleston SC 29403 | |
| (843) 958-2555 | |
| (843) 402-1961 |
| Full Name | Roper St. Francis Physician Partners Behavioral Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 125 Doughty St, 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 St. Francis Physician Partners Behavioral Medicine Po Box 751649 Charlotte NC 28275-1649 Ph: (843) 789-1620 | Roper St. Francis Physician Partners Behavioral Medicine 125 Doughty St Charleston SC 29403 Ph: (843) 958-2555 |
| NPI Number | 1215314828 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215314828 | NPI | - | NPPES |
| 241 | Other | SC | TRICARE |
| GP6950 | Medicaid | SC | |
| 279 | Other | BCBS SC AND BLUECHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (South Carolina) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (South Carolina) | Primary |
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