Organization · Type 2 NPI

Charleston Cancer Center

Hematology & Oncology Physician · Mount Pleasant, SC

NPI number 1073776464 Active

Practice location

180 Wingo Way, Suite 205
Mount Pleasant, SC 29464

Mailing address

2910 Tricom Street
Charleston, SC 29406

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XSC11628 (SC)
Hematology & Oncology Physician 207RH0003XSC08607 (SC)
Hematology & Oncology Physician 207RH0003XSC19684 (SC)

Hematology & Oncology Physician: 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.

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About NPI 1073776464

Charleston Cancer Center's National Provider Identifier is 1073776464, issued on Jul 7, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jul 7, 2008.