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Individual

EDMUND MCDONALD MOLNAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6148
(706) 660-2843

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042363
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007401627E
MEDICAID-MMC
GA
05
000740627A
GA
01
000740627D
MEDICAID-OFFICE
GA
05
00970485
AL
01
154045
MEDICAID-OFFICE
AL
01
20035982
RAILROAD MEDICARE
GA
01
52596568-001
BCBS
GA
01
52596568-002
BCBS
GA
01
600-12067
BCBS
AL
01
600-96984
BCBS
AL
Enumeration date
02/28/2006
Last updated
01/20/2014
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