MATILDA SERWAA MALM


Address: 422 N Fraser St, Georgetown, SC 29440-3260
Phone: 8434361333

MATILDA SERWAA MALM (NPI# 1649582032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649582032
Entity Type Individual
Full Name MATILDA SERWAA MALM
Credential M.D
Practice Address 422 N Fraser St
Georgetown
SC 29440-3260
Mailing Address P.o. Box 608
Mcclellanville
SC 29458-9405
Practice Telephone 8434361333
Practice Fax Number 8434361335
Mailing Telephone 8438873274
Mailing Fax Number 8438873817
Enumeration Date 2010-07-14
Last Update Date 2017-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 36708 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 367089 05

Office Location

Street Address 422 N FRASER ST
City GEORGETOWN
State SC
Zip Code 29440-3260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871122440 Natasha Nicolette Colvin Pharmacist 422 N Fraser St, Georgetown, SC 29440-3260 2020-04-06
1871093773 Bridget M Orlandi Nurse Practitioner 422 N Fraser St, Georgetown, SC 29440-3260 2018-02-16
1881029734 Kristi D Miller Nurse Practitioner 422 N Fraser St, Georgetown, SC 29440-3260 2013-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Georgetown Memorial Hospital Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154966885 Carehere LLC Family Medicine 1745 N Fraser St, Georgetown, SC 29440-6407 2019-11-18
1528628773 Donohoo Primary Care LLC Family Medicine 5160 State Route 125, Georgetown, OH 45121-9518 2019-06-19
1356864938 The Healthy Hedgehog Wellness Coach, LLC Family Medicine 137 S Hamilton St, Georgetown, KY 40324-1671 2017-07-25
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1548517600 Concentra Primary Care Pa Family Medicine 1502 Oxford Drive, Georgetown, KY 40324-8094 2012-08-08
1073876306 Kathryn Drake Hart Family Medicine 603 W University Ave, Georgetown, TX 78626-6684 2012-06-21
1487881264 Cody D Mead Family Medicine 6517 N Lakewood Dr, Georgetown, TX 78633-9530 2009-06-18
1134377849 Katherine Marie Vega Family Medicine 4749 Williams Dr Ste 304, Georgetown, TX 78633-3700 2008-09-05
1790957090 Physician Longevity Institute, Inc Family Medicine 1221 Leander Rd, Georgetown, TX 78628-8707 2008-03-26
1033314448 Thomas Fletcher Taylor Family Medicine 2970 Williams Dr, 141, Georgetown, TX 78628-2702 2007-06-16
Find all providers in GEORGETOWN

Competitor

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City GEORGETOWN
Zip Code 29440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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