Individual
GARY ALEX MOLLENGARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 9TH AVE SW STE 307, BESSEMER, AL 35022-7809
(205) 481-7384
(205) 481-7389
Mailing address
985 9TH AVE SW STE 307, BESSEMER, AL 35022-7809
(205) 481-7384
(205) 481-7389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00012096
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081606
—
AL
Enumeration date
09/13/2006
Last updated
03/10/2010
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