Individual
MOLLY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3937
(614) 566-1997
Mailing address
1482 ASCHINGER BLVD, COLUMBUS, OH 43212-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.010011RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2025
Last updated
02/26/2026
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