DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARLESTON CANCER CENTER PA

MEDICARE: CHARLESTON CANCER CENTER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician
2207RH0003XHematology & Oncology Physician18607SC
3207RH0003XHematology & Oncology Physician19684SC
4207RH0003XHematology & Oncology Physician32155SC
5207RH0003XHematology & Oncology Physician30018SC
6363A00000XPhysician AssistantPA2273SC
7207RH0003XHematology & Oncology Physician11628SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C612826292OTHERMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1043220627
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLESTON CANCER CENTER PA
Provider Business Mailing Address
First Line : 2910 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9350
Country : US
Telephone Number : 843-572-9211
Fax Number : 843-572-0457
Provider Business Practice Location Address
First Line : 2910 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9350
Country : US
Telephone Number : 843-572-9211
Fax Number : 843-572-0457
Authorized Official
Title or Position : MANAGING PARTNER
Name : DOUGLAS L. MICHAELSEN
Credential : M.D.
Telephone Number : 843-572-9211
Provider Enumeration Date : 08/08/2006
Last Update Date : 02/15/2016

Similar Medicare Providers

1043213960 — DR. CHARLES DUDLEY GRAHAM MD
Practice Location Address:
2910 TRICOM ST
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457
1215929542 — DR. CHARLES STEPHEN HOLLADAY MD
Practice Location Address:
2910 TRICOM ST , CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457
1932191269 — DR. DOUGLAS L MICHAELSEN MD
Practice Location Address:
2910 TRICOM ST , CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457
1497715742 — MS. GINA MAGGIANO FISHBURNE P.A.
Practice Location Address:
2910 TRICOM ST
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457
1265442891 — MR. CHRISTOPHER C STEPHANOFF PA
Practice Location Address:
2910 TRICOM ST
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457
1700998317 — DR. JULIA HAY SAYLORS M.D.
Practice Location Address:
2910 TRICOM ST
NORTH CHARLESTON, SC
29406-9350
Practice Phone: 843-572-9211
Practice Fax: 843-572-0457

Directions to “CHARLESTON CANCER CENTER PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.