Individual
MALCOLM KERRY DIRTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTHCARE ADMIN.
Contact information
Practice address
504 N MAIN ST, GREER, SC 29650-1638
(864) 655-7600
(864) 655-7601
Mailing address
408 EELGRASS CT, SIMPSONVILLE, SC 29680-7319
(864) 525-2346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1262
—
SC
Enumeration date
08/26/2021
Last updated
08/26/2021
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