Graham, Charles Dudley

Graham, Charles Dudley is an individual health care provider with primary practice located at 2910 Tricom St , North Charleston SC 29406-9350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Graham, Charles Dudley can be contacted via phone (843) 572-9211.

Contact Information

Primary practice address
2910 Tricom St North Charleston SC 29406-9350
Phone: (843) 572-9211
Fax: (843) 572-0457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 11628 South Carolina

Profile Details

NPI number 1043213960
LBN Legal business name Graham, Charles Dudley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043213960 NPPES
South Carolina MEDICAID 116289

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