Individual
DR. MALISSA ANN MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, CCNS
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(919) 495-5966
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
255207
NC
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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