Individual
DR. MALISSA GAIL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1308 LAUREL STREET, PALMETTO SENIOR CARE LAUREL, COLUMBIA, SC 29201
(803) 931-8166
(803) 931-8183
Mailing address
15 RICHLAND MEDICAL PARK, PALMETTO SENIOR CARE STE 203, COLUMBIA, SC 29203
(803) 434-3770
(803) 434-3773
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
14482
SC
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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