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
1	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528369667
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	:	730 STONY LANDING RD
Second Line	:	SUITE 200
City	:	MONCKS CORNER
State	:	SC
Zip	:	29461-2904
Country	:	US
Telephone Number	:	843-572-9211
Fax Number	:	843-572-9120

Authorized Official
Title or Position	:	FINANCE & BENEFITS MANAGER
Name	:	MS. MAUREEN A MELODY
Credential	:	MBA
Telephone Number	:	843-576-1354

Provider Enumeration Date	:	11/05/2010
Last Update Date	:	11/05/2010

Similar Medicare Providers

1699774034 — JASON KENNETH TRIGIANI PA-C
Practice Location Address:

730 STONY LANDING RD
MONCKS CORNER, SC
29461-2904

Practice Phone: 800-846-7707
Practice Fax: 843-899-7885

1912973298 — DAVID RUSSEL BRAZZEL M.D.
Practice Location Address:

730 STONY LANDING RD STE 100
MONCKS CORNER, SC
29461-2904

Practice Phone: 843-761-6556
Practice Fax: 843-606-8006

1003856352 — PETER KALES BRADY MD
Practice Location Address:

730 STONY LANDING RD
MONCKS CORNER, SC
29461-2904

Practice Phone: 843-720-8363
Practice Fax: 843-761-7881

1275821688 — ROPER SAINT FRANCIS PHYSICIANS NETWORK
Practice Location Address:

730 STONY LANDING RD , SUITE 200
MONCKS CORNER, SC
29461-2904

Practice Phone: 843-763-3360
Practice Fax: 843-763-3038

1699056887 — ROCKY MOUNTAIN HOLDINGS LLC
Practice Location Address:

730 STONY LANDING RD , SUITE 100, SUB SUITE 2
MONCKS CORNER, SC
29461-2904

Practice Phone: 843-761-9782
Practice Fax: 843-761-9791

1538507298 — PALMETTO PRIMARY CARE PHYSICIANS, LLC
Practice Location Address:

730 STONY LANDING RD , STE. 200
MONCKS CORNER, SC
29461-2904

Practice Phone: 843-376-0670
Practice Fax: 843-376-0669

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 © 2007-2026 (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.