Healthcare Provider Details

I. General information

NPI: 1437118221
Provider Name (Legal Business Name): SEA ISLAND CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680B RIBAUT RD
PORT ROYAL SC
29935-2008
US

IV. Provider business mailing address

1680B RIBAUT RD
PORT ROYAL SC
29935-2008
US

V. Phone/Fax

Practice location:
  • Phone: 843-521-9879
  • Fax:
Mailing address:
  • Phone: 843-521-9879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: DR. MAJD CHAHIN
Title or Position: DIRECTOR
Credential:
Phone: 843-521-9879