Basic Information
| Provider Information | |||||||||
| NPI: | 1417225178 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. FRANCIS PHYSICIAN SERVICES, INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | THE HAND CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1011 FRONTAGE RD | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296154240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642424263 | ||||||||
| FaxNumber: | 8642422250 | ||||||||
| Practice Location | |||||||||
| Address1: | 1011 FRONTAGE RD | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296154240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642424263 | ||||||||
| FaxNumber: | 8642422250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2011 | ||||||||
| LastUpdateDate: | 12/09/2011 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | PEARSON | ||||||||
| AuthorizedOfficialFirstName: | BETSY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF FINANCE & ACCOUNTING | ||||||||
| AuthorizedOfficialTelephone: | 8646754562 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ST. FRANCIS PHYSICIAN SERVICES, INC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | SC | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.