Roper St. Francis Physician Partners Primary Care | |
730 Stony Landing Rd Suite 100 Moncks Corner SC 29461 | |
(843) 761-6556 | |
(843) 761-2660 |
Full Name | Roper St. Francis Physician Partners Primary Care |
---|---|
Speciality | Family Medicine |
Location | 730 Stony Landing Rd, Moncks Corner, 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 Primary Care Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | Roper St. Francis Physician Partners Primary Care 730 Stony Landing Rd Suite 100 Moncks Corner SC 29461 Ph: (843) 761-6556 |
NPI Number | 1972746261 |
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Provider Enumeration Date | 04/16/2009 |
Last Update Date | 03/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972746261 | NPI | - | NPPES |
GP5138 | Medicaid | SC | |
112 | Other | SC | BLUECHOICE SUFFIX |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
053 | Other | SC | BCBS SC SUFFIX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
207R00000X | Internal Medicine | (South Carolina) | Secondary |
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