Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Malissa Wilson Etheredge, MD

Individual provider Internal Medicine Physician · NPI 1811301203

Malissa Wilson Etheredge, MD is an Internal Medicine Physician in Columbia, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Palmetto Health Pkwy Ste G100
Columbia, SC 29212-1754
Phone: (803) 434-1210
Fax: (803) 434-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Sunset Drive, Columbia, SC 29203 — (803) 434-4153

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 37102 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL37102 (SC)

Record details

NPI number1811301203
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2014
Last updated in NPPESDecember 27, 2018

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