Holladay, Charles Stephen

Holladay, Charles Stephen is an individual health care provider with primary practice located at 2910 Tricom St Charleston Cancer Center, 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. Holladay, Charles Stephen can be contacted via phone (843) 572-9211.

Contact Information

Primary practice address
2910 Tricom St Charleston Cancer Center 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 SC018607 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 18607 South Carolina

Profile Details

NPI number 1215929542
LBN Legal business name Holladay, Charles Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 15th, 2022 - about 2 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 1215929542 NPPES
South Carolina MEDICAID 186079

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