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Contact Information

CANCER SPECIALISTS OF CHARLESTON, PA
1930 CHARLIE HALL BLVD
CHARLESTON, SC29414-5837
 Phone: 843-556-0036
 Fax: 843-556-3844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CANCER SPECIALISTS OF CHARLESTON, PA

NPI # 1790739134
LBN Legal business name CANCER SPECIALISTS OF CHARLESTON, PA
Authorized official CAROL LANE - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2006
Last updated 09/10/2007 - About 19 years ago
Identifiers
SC License # 14892
SC Medicaid GP4298
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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