=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467627471
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE T MALKA AUDIOLOGIST
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2008
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2850 TRICOM ST
-----------------------------------------------------
City | NORTH CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29406-9192
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-863-1188
-----------------------------------------------------
Fax | 843-863-8286
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2850 TRICOM ST
-----------------------------------------------------
City | NORTH CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29406-9192
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-863-1188
-----------------------------------------------------
Fax | 843-863-8286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 3422
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------