Malissa Wilson Etheredge M.D.

  • NPI 1811301203
According to our database, the NPI number for Malissa Wilson Etheredge M.D. is 1811301203 and activated since 9 years ago. Malissa Wilson Etheredge M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 100 Palmetto Health Pkwy Ste G100, Columbia, SC 29212. You can also contact Malissa Wilson Etheredge M.D. via telephone number is (803) 434-1210. Provider NPI information was last updated on 12/27/2018.

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Overview of Malissa Wilson Etheredge M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/13/2014
  • Last updated: 12/27/2018

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 37102
  • License State: SC

Provider Mailing Address

  • Address: Po Box 743904
    Atlanta, GA 30374
  • Phone: 803-296-7320
  • Fax: 803-296-7330

Provider Practice Location

  • Address: 100 Palmetto Health Pkwy Ste G100
    Columbia, SC 29212
  • Phone: 803-434-1210
  • Fax: 803-434-1212

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 37102
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 371029
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: SC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Malissa Wilson Etheredge M.D.?
  • A: The npi number for Malissa Wilson Etheredge M.D. is 1811301203.
  • Q: What are Malissa Wilson Etheredge M.D.'s specialties?
  • A: Malissa Wilson Etheredge M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Malissa Wilson Etheredge M.D.?
  • A: The medical license number for Malissa Wilson Etheredge M.D. is 37102 and issued in SC in USA.
  • Q: Where is Malissa Wilson Etheredge M.D. practice location?
  • A: Malissa Wilson Etheredge M.D. is practicing at 100 Palmetto Health Pkwy Ste G100, Columbia, SC 29212.
  • Q: How to contact Malissa Wilson Etheredge M.D.?
  • A: You can contact Malissa Wilson Etheredge M.D. via 803-434-1210.
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