CHARLESTON BLOOD DISORDERS & CANCER CENTER P.A. NPI 1225120264

NPI Information

CHARLESTON BLOOD DISORDERS & CANCER CENTER, P.A. is a specialist in Charleston, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHARLESTON BLOOD DISORDERS & CANCER CENTER, P.A. NPI is 1225120264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2093 HENRY TECKLENBURG DRIVE SUITE318E
CHARLESTON, SC
ZIP 29414
Phone: (843) 582-0266
Fax: (843) 852-2025

The provider's authorized official is Robert T Wall .
The authorized official title is Owner and has the following contact phone number (843) 852-0266.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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