Individual
MOLLY MCAFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 MATTHEW ST STE 401, MARIETTA, OH 45750-1656
(740) 374-2252
(740) 374-4974
Mailing address
400 MATTHEW ST STE 401, MARIETTA, OH 45750-1656
(740) 374-2252
(740) 374-4974
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-114840
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.132394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114840
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147106
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAILROAD (GROUP PTAN)
IL
01
—
P01209473
MEDICARE RAILROAD (PROVIDER PTAN)
IL
Enumeration date
07/07/2006
Last updated
04/14/2023
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