Individual
DR. EZEQUIEL JESUS MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-6517
Mailing address
PO BOX 417454, BOSTON, MA 02241-7454
(202) 877-7530
(202) 877-3504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD040778
DC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
91355
GA
Other
Enumeration date
06/23/2008
Last updated
06/07/2022
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