Individual
DR. CHARLES DUDLEY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2910 TRICOM ST, NORTH CHARLESTON, SC 29406-9350
(843) 572-9211
(843) 572-0457
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
11628
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116289
—
SC
Enumeration date
05/24/2005
Last updated
11/05/2009
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