Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Hematology & Oncology Physician · Charleston, SC

NPI number 1174958227 Active

Practice location

2085 Henry Tecklenburg Dr, Suite 320
Charleston, SC 29414-7710

Call (864) 724-1912 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Hematology (Internal Medicine) Physician	207RH0000X	None listed
Hematology & Oncology Physician Primary	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed

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.

38 other providers at this address

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NPI record

NPI: 1174958227
Entity type: Organization (Type 2)
Issued: Sep 9, 2013
Last updated: Sep 19, 2019
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Lci RSF Tumor and Spine Clinic · doing business as
Lci RSF Tumor and Spine Clinic · doing business as

Authorized official

Thomas Laymon
Senior Vice President
(704) 446-8250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174958227

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1174958227, issued on Sep 9, 2013. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Charleston, SC. The record was last updated on Sep 19, 2019.