Individual
MR. TIMOTHY ROBERT MALINOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24219
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
24219
SC
Other
Enumeration date
08/30/2020
Last updated
05/17/2021
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