Malm, Matilda Serwaa
Malm, Matilda Serwaa is an individual health care provider with primary practice located at 422 N Fraser St , Georgetown SC 29440-3260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Malm, Matilda Serwaa can be contacted via phone (843) 436-1333.Contact Information
Primary practice address
422 N Fraser St
Georgetown SC 29440-3260
Phone: (843) 436-1333
Fax: (843) 436-1335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36708 | South Carolina |
Profile Details
| NPI number | 1649582032 |
|---|---|
| LBN Legal business name | Malm, Matilda Serwaa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2010 |
| Last updated | Aug 28th, 2017 - about 9 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 | 1649582032 | NPPES |
| South Carolina | MEDICAID | 367089 |
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