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DR. MALISSA GAIL WILSON MD
NPI 1073529053
Internal Medicine - Geriatric Medicine in Columbia, SC

Active since July 31, 2006
1308 LAUREL STREET, PALMETTO SENIOR CARE LAUREL, COLUMBIA, SC 29201(803) 931-8166(803) 931-8183 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Malissa Gail Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALISSA GAIL WILSON MD (NPI 1073529053) is an individual geriatric medicine provider in Columbia, South Carolina, licensed in South Carolina (14482) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073529053
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MALISSA GAIL WILSONCredential: MD
Location Address1308 LAUREL STREET, PALMETTO SENIOR CARE LAURELColumbia, SC 29201
Mailing Address15 Richland Medical Park, Palmetto Senior Care Ste 203Columbia, SC 29203 · (803) 434-3770 · Fax (803) 434-3773
Phone(803) 931-8166
Fax(803) 931-8183
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073529053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in SC · 14482
Definition
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.
1308 LAUREL STREET, Columbia, SC 29201
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Other Names 1

Former Name (1)Ms. Malissa Gail Kinard

Other Identifiers 1

Medicare UPINF46855

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAREN LATRELLE HARDY FNP
Nurse Practitioner (Family)
1308 LAUREL STREET, PALMETTO SENIOR CARE LAUREL
COLUMBIA, SC 29201
Richland County (803) 931-8166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malissa Wilson's NPI number?

The NPI number for Malissa Wilson is 1073529053. It was assigned to this individual provider in the NPPES registry on July 31, 2006. The provider is also known as Ms. Malissa Gail Kinard.

Where is Malissa Wilson located?

Malissa Wilson practices at 1308 Laurel Street Palmetto Senior Care Laurel, Columbia, SC 29201. The listed phone number is (803) 931-8166.

What is Malissa Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Malissa Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.