Dr. Charles Dudley Graham
Hematology & Oncology
2910 Tricom St
North Charleston
, South Carolina 29406-9350
Dr. Charles Dudley Graham
Hematology & Oncology
2910 Tricom St
North Charleston
, South Carolina 29406-9350
(843) 572-0457
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Charles Dudley Graham
- 2910 Tricom St
- North Charleston, SC
- Zip : 29406-9350
- Fax : (843) 572-0457
- Phone : (843) 572-9211
Second Address
- Dr. Charles Dudley Graham
- 2910 Tricom St
- North Charleston, SC
- Zip : 29406-9350
- Fax : (843) 572-0457
- Phone : (843) 572-9211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 11628 | SC |
National Provider Identifier
| NPI | 1043213960 |
|---|---|
| Provider Name | Dr. Charles Dudley Graham |
| First Address | North Charleston, SC 29406-9350 |
| Second Address | North Charleston, SC 29406-9350 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 05/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 116289 | (05) | SC |
| C61282 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.