Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charleston Cancer Center PA

Organization Hematology & Oncology Physician · NPI 1043220627

Charleston Cancer Center PA is a Hematology & Oncology Physician in North Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
7
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2910 Tricom St
North Charleston, SC 29406-9350
Phone: (843) 572-9211
Fax: (843) 572-0457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 11628 (SC)
Hematology & Oncology Physician Taxonomy 207RH0003X
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 18607 (SC)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 19684 (SC)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 32155 (SC)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 30018 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA2273 (SC)

Record details

NPI number1043220627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Michaelsen — Managing Partner · (843) 572-9211
Other names Trident Palmetto Hematology Oncology
NPI enumeratedAugust 8, 2006
Last updated in NPPESFebruary 15, 2016
Mailing address2910 Tricom St, North Charleston, SC 29406-9350

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