Individual
RONALD L MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 MORRISON SPRINGS RD, SUITE 300, CHATTANOOGA, TN 37415-3416
(423) 877-4524
(423) 875-5860
Mailing address
6918 SHALLOWFORD RD, SUITE 206, CHATTANOOGA, TN 37421-6784
(423) 855-2552
(423) 855-9041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
006069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012636D
—
GA
Enumeration date
10/07/2005
Last updated
12/10/2012
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