Individual
MRS. MOLLY BEAL TODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2808 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-4138
(336) 765-9000
Mailing address
1408 JOYCELAND RD, KERNERSVILLE, NC 27284-9978
(919) 360-1792
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5007304
NC
Other
Enumeration date
11/04/2014
Last updated
11/05/2015
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