Individual
MALCOLM L. MARION III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1435 EBENEZER RD, ROCK HILL, SC 29732-2338
(803) 328-3828
(803) 328-3879
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(700) 438-4783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8859
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088595
—
SC
Enumeration date
08/03/2005
Last updated
03/07/2023
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