Individual
LOUISE ANNE MALKASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51977
—
SC
Enumeration date
10/03/2006
Last updated
10/16/2007
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