Individual
MOLLY C SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DUGAS BUILDING BG 107 1120 15TH STREET, AUGUSTA, GA 30912-0001
(706) 721-9463
Mailing address
680 CRANE CREEK DR APT 611, AUGUSTA, GA 30907-3094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11930
GA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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