Individual
DR. L SUZANNE MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
(843) 667-1282
Mailing address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
(843) 667-1282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127222
—
SC
Enumeration date
04/18/2006
Last updated
01/04/2011
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