Malone, Timothy D

Malone, Timothy D is an sole proprietor health care provider with primary practice located at 1415 Blanding St Ste 4, Columbia SC 29201-2922. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Malone, Timothy D can be contacted via phone (803) 434-6771.

Contact Information

Primary practice address
1415 Blanding St Ste 4 Columbia SC 29201-2922
Phone: (803) 434-6771
Fax: (803) 434-3955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17355 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17355 South Carolina

Profile Details

NPI number 1225008832
LBN Legal business name Malone, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Sep 17th, 2021 - about 5 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 1225008832 NPPES
South Carolina MEDICAID 173555
South Carolina Other 582296052

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