Individual
MOLLY COLLEEN FIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-8253
Mailing address
5218 STRATHMORE AVE, NORTH BETHESDA, MD 20852-3482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09926
NC
363A00000X
Physician Assistant
C07096
MD
363AM0700X
Medical Physician Assistant
Primary
0010-09926
NC
363AM0700X
Medical Physician Assistant
09926
NC
363AM0700X
Medical Physician Assistant
C0007096
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730651704
—
NC
Enumeration date
01/01/2019
Last updated
11/02/2022
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