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1447400171
MARIA MALATANOS KENNICKELL
CHARLESTON, SC
NPI
1447400171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 2729)
Enumeration Date
2008-09-30
Last Update Date
2020-05-07
Business Address
MARIA MALATANOS KENNICKELL PA-C
1962 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5837
Phone number: 843-722-8000
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Mailing Address
MARIA MALATANOS KENNICKELL PA-C
2001 2ND AVE STE 101
SUMMERVILLE, SC 29486-7887
Phone number: 843-793-5182
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