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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