Organization
TIMOTHY D. MALONE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D. MALONE MD (PSYCHIATRIST)
(803) 779-7500
Entity
Organization
Contact information
Practice address
1415 BLANDING ST, STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Mailing address
1415 BLANDING ST, STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17355
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173555
—
SC
01
—
582296052
PBMC BEHAVIORAL HEALTH
SC
Enumeration date
10/16/2007
Last updated
07/02/2012
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