Individual
THOMAS EDWARD MOLITOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 10TH AVE STE 100, COLUMBUS, GA 31901-1529
(706) 571-1120
Mailing address
1800 10TH AVE STE 100, COLUMBUS, GA 31901-1529
(706) 571-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81927
GA
207Q00000X
Family Medicine Physician
MD.38783
AL
390200000X
Student in an Organized Health Care Education/Training Program
81927
GA
Other
Enumeration date
03/31/2017
Last updated
06/03/2020
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