MEDICARE: TIMOTHY D MALONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	17355	SC
2	2084P0800X	Psychiatry Physician	17355	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	582296052	OTHER	SC	PBMC BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1225008832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY D MALONE MD

Provider Business Mailing Address
First Line	:	PO BOX 743904
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3904
Country	:	US
Telephone Number	:	803-296-7320
Fax Number	:	803-296-7330

Provider Business Practice Location Address
First Line	:	1415 BLANDING ST
Second Line	:	STE 4
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2922
Country	:	US
Telephone Number	:	803-434-6771
Fax Number	:	803-434-3955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/17/2021

Similar Medicare Providers

1184367468 — MORGAN CROWE SWEENEY FNP
Practice Location Address:

1415 BLANDING ST
COLUMBIA, SC
29201-2922

Practice Phone: 803-256-1518
Practice Fax:

1548240484 — ROBERT C SCHNACKENBERG MD
Practice Location Address:

1415 BLANDING ST , SUITE 4
COLUMBIA, SC
29201-2922

Practice Phone: 803-779-7500
Practice Fax: 803-779-7522

1801860515 — DR. ANGELA DAUBY HARPER MD
Practice Location Address:

1415 BLANDING ST , SUITE 4
COLUMBIA, SC
29201-2922

Practice Phone: 803-779-7500
Practice Fax: 803-779-7522

1447210265 — MS. LAURA SHAVER-HAST LISW
Practice Location Address:

1415 BLANDING ST STE 4
COLUMBIA, SC
29201-2922

Practice Phone: 803-960-9547
Practice Fax:

1215021399 — MRS. PENNY MARIE LOYA FNP
Practice Location Address:

1415 BLANDING ST STE 4
COLUMBIA, SC
29201-2922

Practice Phone: 803-779-7500
Practice Fax: 803-779-7522

1609960384 — MR. ANTHONY J MESIANO JR. LISW
Practice Location Address:

1415 BLANDING ST , SUITE 4
COLUMBIA, SC
29201-2922

Practice Phone: 803-779-7500
Practice Fax: 803-779-7522

Directions to “ TIMOTHY D MALONE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.