Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2013-02337 | NC |
N | 207PP0204X | Pediatric Emergency Physician | 2013-02337 | NC |
NPI | 1093866659 |
---|---|
Provider Name | Dr. Patrick Joseph Maloney |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29605-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 16/10/2015 |