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Contact Information

LAURIE L MALMSTROM, MD
701 GROVE RD
GMH ER ADMINISTRATION
GREENVILLE, SC29605-5611
 Phone: 864-455-6372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LAURIE L MALMSTROM · (Female)

NPI # 1093732091
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 21139
  • SC Medicaid 211390
  • SC Other 57-6007863 BCBS
  • SC Other 57-6007863 BLUE CHOICE
  • SC Other 930081471 MEDICARE RAILROAD
  • SC Other 20-21139 SCCS
  • SC Other 20004419 SELECT HEALTH
  • SC Other 57-6007863 TRICARE
  • SC Other 167193 UNISON
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • GREER MEMORIAL HOSPITAL - (Acute Care)
    830 SOUTH BUNCOMBE ROAD
    GREER, SC 29650
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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