Individual
MOLLY H WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 863-1441
Mailing address
4533 13TH ST, GULFPORT, MS 39501-2516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903603
MS
Other
Enumeration date
10/11/2019
Last updated
10/17/2019
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