Individual
MOLLY ANNE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5788 STOFFER RD, BELLVILLE, OH 44813-9112
(419) 571-7275
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005485RX
OH
Other
Enumeration date
01/22/2018
Last updated
12/10/2019
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