Individual
DR. MALCOLM H HORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-7612
(803) 943-7613
Mailing address
595 W CAROLINA AVE, PO BOX 338, VARNVILLE, SC 29944-4735
(803) 943-7612
(803) 943-7613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL5264
—
SC
Enumeration date
05/11/2006
Last updated
07/25/2016
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