| Organization Name: | ST. FRANCIS PHYSICIAN SERVICES INC |
| NPI Number: | 1578885364 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL M FAIRLEY (VP OF NETWORK OPERATIONS) |
| Mailing Address: | 2 Innovation Dr. Suite 120 Greenville |
| State: | SC US |
| Postal Code: | 296075262 |
| Phone Number: | 8649911956 |
| Fax Number: | 8642415198 |
| NPI Enumeration Date: | 02/19/2010 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |