CHARLESTON BLOOD DISORDERS & CANCER CENTER, P.A.
NPI 1225120264
Specialist in Charleston, SC

Q: What is Charleston Blood Disorders & Cancer Center, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 28, 2006

2093 HENRY TECKLENBURG DRIVE SUITE318E, CHARLESTON, SC 29414(843) 582-0266(843) 852-2025 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charleston Blood Disorders & Cancer Center, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON BLOOD DISORDERS & CANCER CENTER, P.A. (NPI 1225120264) is a healthcare organization registered as a specialist in Charleston, South Carolina and active in the NPI registry since September 2006. The organization lists Robert T Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1225120264

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHARLESTON BLOOD DISORDERS & CANCER CENTER, P.A.

Location Address2093 HENRY TECKLENBURG DRIVE SUITE318ECharleston, SC 29414

Mailing Address2093 Henry Tecklenburg Drive Suite318eCharleston, SC 29414 · (843) 582-0266 · Fax (843) 852-2025

Phone(843) 582-0266

Fax(843) 852-2025

Organization SubpartNo

Authorized OfficialRobert T WallOwner · (843) 852-0266

Enumeration DateSeptember 28, 2006

Last NPPES UpdateJuly 21, 2010

✔ NPI 1225120264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in SC · 20-11042

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2093 HENRY TECKLENBURG DRIVE SUITE318E, Charleston, SC 29414

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Other Identifiers 2

MedicaidGP3633SC

Medicare ID-Type Unspecified7530SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Blood Disorders & Cancer Center, P.A.'s NPI number?

The NPI number for Charleston Blood Disorders & Cancer Center, P.A. is 1225120264. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Charleston Blood Disorders & Cancer Center, P.A. located?

Charleston Blood Disorders & Cancer Center, P.A. is located at 2093 Henry Tecklenburg Drive Suite318e, Charleston, SC 29414. The listed phone number is (843) 582-0266.

What is Charleston Blood Disorders & Cancer Center, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charleston Blood Disorders & Cancer Center, P.A. was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.