Healthcare Provider Details

I. General information

NPI: 1467627471
Provider Name (Legal Business Name): JULIE T MALKA AUDIOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 TRICOM ST
NORTH CHARLESTON SC
29406-9192
US

IV. Provider business mailing address

2850 TRICOM ST
NORTH CHARLESTON SC
29406-9192
US

V. Phone/Fax

Practice location:
  • Phone: 843-863-1188
  • Fax: 843-863-8286
Mailing address:
  • Phone: 843-863-1188
  • Fax: 843-863-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3422
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: