Individual
R. MOLLIE A. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 BRIERFIELD DR, MONROE, LA 71201-3048
(318) 387-1437
(318) 322-2685
Mailing address
2701 BRIERFIELD DR, MONROE, LA 71201-3048
(318) 387-1437
(318) 322-2685
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
10383R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989258
—
LA
Enumeration date
12/28/2006
Last updated
07/08/2007
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