MALISSA ETHEREDGE, M.D.
Internal Medicine
Active
Individual
NPI: 1811301203
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 37102 (SC) |
Frequently Asked Questions
NPI 1811301203 is the National Provider Identifier for MALISSA ETHEREDGE, M.D., a Internal Medicine provider located in Columbia, SC. This NPI was enumerated on June 13, 2014.
MALISSA ETHEREDGE, M.D. practices at 100 PALMETTO HEALTH PKWY STE G100, Columbia, SC 29212.
Quick Facts
- NPI
- 1811301203
- Type
- Individual
- Enumerated
- Jun 13, 2014
- Last Updated
- Dec 27, 2018
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