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Organization
CHARLESTON CANCER CENTER, PA
Active
Organization
CHARLESTON CANCER CENTER, PA
Active
Parent organization
CHARLESTON CANCER CENTER, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON CANCER CENTER, PA
Authorized official
MS. MAUREEN A MELODY MBA (FINANCE & BENEFITS MANAGER)
(843) 576-1354
Entity
Organization
Contact information
Practice address
730 STONY LANDING RD, SUITE 200, MONCKS CORNER, SC 29461-2904
(843) 572-9211
(843) 572-9120
Mailing address
2910 TRICOM ST, NORTH CHARLESTON, SC 29406-9350
(843) 572-9211
(843) 572-0457
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2200
—
SC
Enumeration date
11/05/2010
Last updated
11/05/2010
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