Organization
CANCER SPECIALISTS OF CHARLESTON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LANE (PRACTICE MANAGER)
(843) 556-0036
Entity
Organization
Contact information
Practice address
1930 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5837
(843) 556-0036
(843) 556-3844
Mailing address
1930 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5837
(843) 556-0036
(843) 556-3844
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
14892
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4298
—
SC
Enumeration date
05/20/2006
Last updated
09/10/2007
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