| Kathy R Malaney | |
|
1202 Palm Blvd Isle Of Palms SC 29451-2296 | |
| (843) 886-4402 | |
| (843) 886-4430 |
| Full Name | Kathy R Malaney |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1202 Palm Blvd, Isle Of Palms, South Carolina |
| Authorized Official Name and Position | Kathleen R Malaney (CORPORATE OFFICER) |
| Authorized Official Contact | 8438864402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy R Malaney 1202 Palm Blvd Isle Of Palms SC 29451-2296 Ph: (843) 886-4402 | Kathy R Malaney 1202 Palm Blvd Isle Of Palms SC 29451-2296 Ph: (843) 886-4402 |
| NPI Number | 1952515132 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952515132 | NPI | - | NPPES |
| 131146 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 131146SC (South Carolina) | Primary |
The Island Doctor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Palm Blvd Ste 2d, Isle Of Palms, SC 29451 Phone: 843-242-7362 |