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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