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Organization

CANCER CONTROL CENTER OF CHARLESTON,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL NIXON MD (PHYSICIAN)
(843) 884-8121
Entity
Organization

Contact information

Practice address
1405 BEN SAWYER BLVD, MT PLEASANT, SC 29464-5519
(843) 884-8121
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17188
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4232
SC
Enumeration date
03/20/2008
Last updated
03/20/2008
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