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Individual

DR. PETER GEORGE MALMQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2404 MIDWAY RD, ANDERSON, SC 29621-2624
(864) 225-0991
(864) 225-5171
Mailing address
2404 MIDWAY RD, ANDERSON, SC 29621-2624
(864) 225-0991
(864) 225-5171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12663
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126633
SC
Enumeration date
09/04/2006
Last updated
07/08/2007
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