Individual
MRS. MOLLY MARGARET BEAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
500 THOMAS LN STE 3G, COLUMBUS, OH 43214-1419
(614) 788-2870
(614) 533-0177
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000976A
IN
363A00000X
Physician Assistant
Primary
50.002103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000553984
ANTHEM PIN NUMBER
IN
Enumeration date
11/22/2006
Last updated
09/18/2023
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