Charleston Cancer Center, NPI 1073776464
Hematology & Oncology Physician in Mt Pleasant, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073776464
NPI Entity Type Organization
Provider Name Charleston Cancer Center
Subpart of Organization Charleston Cancer Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 180 Wingo Way, Suite 205, Mt Pleasant, SC, US
Provider Mailing Address 2910 Tricom Street, Charleston, SC, US, 29406
Is Sole Proprietor? No
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Organization Official

Official Name MD Charles D Graham
Official Position PRESIDENT
Phone 843-572-0457

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. SC11628
License State SC
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

Charleston Cancer Center
180 Wingo Way
Suite 205

Mt Pleasant, SC, US

Phone: 843-572-9211

Mailing Address

Charleston Cancer Center
2910 Tricom Street
Charleston, SC, US
ZIP 29406
Phone: 843-572-9211
Fax: 843-572-0457

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

SC08607 SC No

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

SC19684 SC No

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