Wilson, Malissa Gail

Wilson, Malissa Gail is an individual health care provider with primary practice located at 1308 Laurel Street Palmetto Senior Care Laurel, Columbia SC 29201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Wilson, Malissa Gail can be contacted via phone (803) 931-8166.

Contact Information

Primary practice address
1308 Laurel Street Palmetto Senior Care Laurel Columbia SC 29201
Phone: (803) 931-8166
Fax: (803) 931-8183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 14482 South Carolina

Profile Details

NPI number 1073529053
LBN Legal business name Wilson, Malissa Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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