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DR. WALTER N. MALLOY M.D.
NPI 1619067261
Internal Medicine - Cardiovascular Disease in Myrtle Beach, SC

Active since October 13, 2006
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577(843) 477-0177(843) 518-4022 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Walter N. Malloy M.d. NPPES

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

DR. WALTER N. MALLOY M.D. (NPI 1619067261) is an individual cardiovascular disease provider in Myrtle Beach, South Carolina, licensed in Virginia (0101027084) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619067261
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WALTER N. MALLOYCredential: M.D.
Location Address1101 JOHNSON AVEMyrtle Beach, SC 29577-1893
Mailing AddressPo Box 1407Tappahannock, VA 22560-1407 · (804) 370-4093 · Fax (804) 443-0439
Phone(843) 477-0177
Fax(843) 518-4022
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 31, 2019
✔ NPI 1619067261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0101027084
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101027084 (VA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 0101027084 (VA)
1101 JOHNSON AVE, Myrtle Beach, SC 29577
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Other Identifiers 1

Medicaid6075886VA

Other Providers at the Same Location NPPES 13

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

DR. WILLA FRY AU.D.
Audiologist
1101 JOHNSON AVE, SUITE 204
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
MRS. JANE PATRICIA FRANKS ANP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
PAUL ANAMA PT
Physical Therapist
1101 JOHNSON AVE, RM 138
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
MR. FRANKIE MACHADO MILLER II LCSW-C
Social Worker (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
COASTAL CENTER FOR COGNITIVE THERAPY, PA
Psychologist (Clinical)
1101 JOHNSON AVE, SUITE 200
MYRTLE BEACH, SC 29577
Horry County (843) 839-9028
DR. KIMBERLY PATRICIA CUDDY PSY.D.
Psychologist (Clinical)
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 232-2423
DANA M STEPHENSON AU.D.
Audiologist
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177
RANDALL PAUL GROVE PA
Physician Assistant
1101 JOHNSON AVE
MYRTLE BEACH, SC 29577
Horry County (843) 477-0177

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 Walter Malloy's NPI number?

The NPI number for Walter Malloy is 1619067261. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Walter Malloy located?

Walter Malloy practices at 1101 Johnson Ave, Myrtle Beach, SC 29577. The listed phone number is (843) 477-0177.

What is Walter Malloy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Walter Malloy was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.