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CHARLESTON CANCER CENTER NPI 1477882843


NPI Information

NPI: 1477882843
Provider Name: CHARLESTON CANCER CENTER
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
416 ROBERTSON BLVD
SUITE B
WALTERBORO, SC
ZIP 29488
Phone: (843) 572-9211
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CHARLESTON CANCER CENTER is a hematology and oncology internal medicine in Walterboro, SC. The provider is 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. CHARLESTON CANCER CENTER NPI is 1477882843. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

416 ROBERTSON BLVD
SUITE B
WALTERBORO, SC
ZIP 29488
Phone: (843) 572-9211
Fax: (843) 572-9120

The provider's authorized official is Charles D Graham .
The authorized official title is President and has the following contact phone number (843) 572-9211.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 8/22/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology11628SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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