Individual
MALCOLM MAZYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 51168, SUMMERVILLE, SC 29485-1168
(843) 530-8109
Mailing address
PO BOX 51168, SUMMERVILLE, SC 29485-1168
(843) 530-8109
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
RBS41439
SC
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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