Mallow, L Suzanne
Mallow, L Suzanne is an individual health care provider with primary practice located at 600 E Palmetto St , Florence SC 29506-2851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mallow, L Suzanne can be contacted via phone (843) 667-9414.Contact Information
Primary practice address
600 E Palmetto St
Florence SC 29506-2851
Phone: (843) 667-9414
Fax: (843) 667-1282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12722 | South Carolina |
Profile Details
| NPI number | 1194780874 |
|---|---|
| LBN Legal business name | Mallow, L Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jan 4th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194780874 | NPPES |
| South Carolina | MEDICAID | 127222 |
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