Individual
MICHAEL MALIZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3227 WALTER DR STE 1B, JOHNS ISLAND, SC 29455-8171
(843) 872-5454
(843) 872-5501
Mailing address
2045 THORNHILL DR, SUMMERVILLE, SC 29485-8386
(845) 489-4983
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28067
SC
Other
Enumeration date
05/25/2018
Last updated
10/28/2023
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