DESTINEY MALPASS

NORTH CHARLESTON, SC
NPI1023601853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2021-02-12
Last Update Date2023-07-31
Business Address
DESTINEY MALPASS PA
9295 MEDICAL PLAZA DR STE A-B
NORTH CHARLESTON, SC 29406-9137
Phone number: 843-797-3960
Mailing Address
DESTINEY MALPASS PA
78 SMITH ST
CHARLESTON, SC 29401-1328
Phone number:
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