Individual
DR. JACOB THEODOOR MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
723 PINEY FOREST RD, DANVILLE, VA 24540-2860
(434) 773-6830
(434) 773-6832
Mailing address
570 COUNTRY PLACE RD, AXTON, VA 24054-2566
(276) 666-5908
(276) 666-5908
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101019920
VA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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