CHARLESTON CANCER CENTER – NPI #1073776464
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CHARLESTON CANCER CENTER is a provider located in MOUNT PLEASANT, SC. NPPES has assigned the NPI number 1073776464 to CHARLESTON CANCER CENTER on July 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLESTON CANCER CENTER below.

NPI Profile for
CHARLESTON CANCER CENTER

NPI Number
1073776464
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLESTON CANCER CENTER
Primary location
180 WINGO WAY
SUITE 205
MOUNT PLEASANT, SC 29464
Phone: (843) 572-9211 Fax:
Mailing address
2910 TRICOM STREET
CHARLESTON, SC 29406
Phone: (843) 572-9211 Fax: (843) 572-0457
Organization Subpart
Yes - CHARLESTON CANCER CENTER is subpart of another organization.
Authorized Official
CHARLES GRAHAM
PRESIDENT
Phone: (843) 572-0457
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
SC SC08607

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.