Individual
DR. MOLLY TALCOTT HEINZEN OXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6056
(423) 439-7272
(423) 439-7235
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(234) 397-2724
(423) 439-7235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2018-01859
NC
207V00000X
Obstetrics & Gynecology Physician
65282
TN
207VG0400X
Gynecology Physician
2018-01859
NC
207VX0000X
Obstetrics Physician
2018-01859
NC
207VX0000X
Obstetrics Physician
Primary
65282
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043431901
—
NC
05
—
Q073537
—
TN
Enumeration date
05/01/2007
Last updated
01/24/2024
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