Individual
MOLLY JO DECRISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6013 FARRINGTON RD STE 301, CHAPEL HILL, NC 27517-8173
(984) 974-6669
(984) 974-9609
Mailing address
PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593, CHAPEL HILL, NC 27599-7593
(919) 966-3172
(919) 966-8419
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
2025-00731
NC
208000000X
Pediatrics Physician
2025-00731
NC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2025-00731
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/27/2022
Last updated
03/09/2026
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