DR. MALISSA GAIL WILSON


Address: 1308 Laurel Street, Palmetto Senior Care Laurel, Columbia, SC 29201
Phone: 8039318166

DR. MALISSA GAIL WILSON (NPI# 1073529053) 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) 1073529053
Entity Type Individual
Full Name DR. MALISSA GAIL WILSON
Other Name MS. MALISSA GAIL KINARD
Credential MD
Practice Address 1308 Laurel Street
Palmetto Senior Care Laurel
Columbia
SC 29201
Mailing Address 15 Richland Medical Park
Palmetto Senior Care Ste 203
Columbia
SC 29203
Practice Telephone 8039318166
Practice Fax Number 8039318183
Mailing Telephone 8034343770
Mailing Fax Number 8034343773
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
14482 SC Allopathic & Osteopathic Physicians

Office Location

Street Address 1308 LAUREL STREET
PALMETTO SENIOR CARE LAUREL
City COLUMBIA
State SC
Zip Code 29201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669488649 Karen Latrelle Hardy Nurse Practitioner 1308 Laurel Street, Palmetto Senior Care Laurel, Columbia, SC 29201 2006-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
Find all providers in zip 29201

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164037875 Visiting Physicians LLC Internal Medicine 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 2020-09-10
1598023194 Health First Medical Care LLC Internal Medicine 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 2012-05-02
1447266325 John Raymond Egbert Internal Medicine 15 Richland Medical Park, Ste 203, Columbia, SC 29203 2006-07-31
1619952520 Eric A. Barnes Internal Medicine 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 2005-12-13
1417445198 Palmetto Health - University of South Carolina Medical Group Internal Medicine 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 2018-04-27
1396999686 Barnes Health Care Management Group LLC Internal Medicine 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 2008-11-12
1245450337 Venkata C Sami Internal Medicine 5755 Cedar Ln, Columbia, MD 21044 2007-04-30
1578585428 Dale Rutledge Hamrick, Md, LLC Internal Medicine 124 Spring Valley Ct, Columbia, SC 29223-5900 2006-07-23
1477572196 Joseph Riddle Thompson Internal Medicine 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2006-07-19
1407886336 Nandakumar B Vellanki Internal Medicine 8850 Columbia 100 Pkwy, Ste 301, Columbia, MD 21045-2377 2006-07-04
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29201

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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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