Malloy, Walter N.

Malloy, Walter N. is an individual health care provider with primary practice located at 1101 Johnson Ave , Myrtle Beach SC 29577-1893. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Malloy, Walter N. can be contacted via phone (843) 477-0177.

Contact Information

Primary practice address
1101 Johnson Ave Myrtle Beach SC 29577-1893
Phone: (843) 477-0177
Fax: (843) 518-4022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101027084 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101027084 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101027084 Virginia

Profile Details

NPI number 1619067261
LBN Legal business name Malloy, Walter N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 31st, 2019 - about 5 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 1619067261 NPPES
Virginia MEDICAID 6075886

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