Individual
MATILDA SERWAA MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
422 N FRASER ST, GEORGETOWN, SC 29440-3260
(843) 436-1333
(843) 436-1335
Mailing address
P.O. BOX 608, MCCLELLANVILLE, SC 29458-9405
(843) 887-3274
(843) 887-3817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36708
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367089
—
SC
Enumeration date
07/14/2010
Last updated
08/28/2017
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