NPI 1023601853
Destiney Malpass, PA
Practice location
- Address
- 9295 Medical Plaza Dr STE A-B, North Charleston, SC 29406-9137
- Phone
- (843) 797-3960
- Mailing address
- 78 Smith St, Charleston, SC 29401-1328
Registered specialties (2)
Physician Assistant
Primary
Surgical Physician Assistant
Registry record
- NPI
- 1023601853
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Feb 2021
- Record last updated
- 31 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.