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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 36708 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 367089 | 05 |
Street Address |
422 N FRASER ST |
City | GEORGETOWN |
State | SC |
Zip Code | 29440-3260 |
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 |
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 |
Find all providers in zip 29440 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | GEORGETOWN |
Zip Code | 29440 |
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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.