Individual
JAY THOMAS MOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1760 DOUBLE SPRINGS CHURCH ROAD, MONROE, GA 30656
(843) 582-6222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN189297
GA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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