Roper St. Francis Physician Partners Behavioral Medicine | |
2097 Henry Tecklenburg Dr Ste 211w Charleston SC 29414 | |
(843) 958-2555 | |
(843) 402-1961 |
Full Name | Roper St. Francis Physician Partners Behavioral Medicine |
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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 |
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Roper St. Francis Physician Partners Behavioral Medicine Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | Roper St. Francis Physician Partners Behavioral Medicine 2097 Henry Tecklenburg Dr Ste 211w Charleston SC 29414 Ph: (843) 958-2555 |
NPI Number | 1679950281 |
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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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