MALISSA G. WILSON MD – NPI #1073529053
Internal Medicine

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.

MALISSA WILSON is a physician located in COLUMBIA, SC. NPPES has assigned the NPI number 1073529053 to MALISSA WILSON on July 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MALISSA GAIL KINARD. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MALISSA WILSON below.

NPI Profile for
MALISSA G. WILSON

NPI Number
1073529053
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MALISSA G. WILSON
Former Name: MALISSA GAIL KINARD
Credentials
MD
Primary location
1308 LAUREL STREET
PALMETTO SENIOR CARE LAUREL
COLUMBIA, SC 29201
Phone: (803) 931-8166 Fax: (803) 931-8183
Mailing address
15 RICHLAND MEDICAL PARK
PALMETTO SENIOR CARE STE 203
COLUMBIA, SC 29203
Phone: (803) 434-3770 Fax: (803) 434-3773
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
SC 14482

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.