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Organization
CHARLESTON CANCER CENTER
Active
Organization
CHARLESTON CANCER CENTER
Active
Parent organization
CHARLESTON CANCER CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON CANCER CENTER
Authorized official
CHARLES D GRAHAM MD (PRESIDENT)
(843) 572-0457
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 205, MT PLEASANT, SC 29464
(843) 572-9211
Mailing address
2910 TRICOM STREET, CHARLESTON, SC 29406
(843) 572-9211
(843) 572-0457
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
SC08607
SC
207RH0003X
Hematology & Oncology Physician
Primary
SC11628
SC
207RH0003X
Hematology & Oncology Physician
SC19684
SC
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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