Malcolm, Gregory R

Malcolm, Gregory R is an individual health care provider with primary practice located at 240 Stoneridge Dr Suite 304, Columbia SC 29210-8013. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Malcolm, Gregory R can be contacted via phone (803) 708-8126.

Contact Information

Primary practice address
240 Stoneridge Dr Suite 304 Columbia SC 29210-8013
Phone: (803) 708-8126
Fax: (803) 708-1370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 12464 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 12464 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 12464 South Carolina

Profile Details

NPI number 1427138528
LBN Legal business name Malcolm, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Sep 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427138528 NPPES
South Carolina Other 2001038 CCP
South Carolina Other 124644 CCP
South Carolina Other 77844 CCP
South Carolina Other 050028871 CCP
South Carolina Other 4130018 CCP
South Carolina MEDICAID 124644 CCP

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