Molly B Bouldin (NPI# 1174502827, PAC ID# 8729977525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1174502827 |
PAC ID by PECOS | 8729977525 |
Professional Enrollment ID | I20081106000397 |
Full Name | Molly B Bouldin |
Organization Legal Name | DOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
Address |
4645 Timber Ridge Dr Suite 100 Douglasville GA 30135-7542 |
Phone Number | 6787023376 |
Gender | F |
Credential | MD |
Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | PATHOLOGY |
Secondary Specialties | DERMATOLOGY |
Group Practice PAC ID | 1658680764 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4645 Timber Ridge Dr, Suite 100, Douglasville, GA 30135-7542 | 6787023376 | DOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
Organization Legal Name | DOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Firas George Hougeir | Dermatology | Douglas Dermatology and Skin Cancer Specialists LLC | 4645 Timber Ridge Dr, Suite 100, Douglasville, GA 30135-7542 |
Martha L Sikes | Physician Assistant | Douglas Dermatology and Skin Cancer Specialists LLC | 4645 Timber Ridge Dr, Suite 100, Douglasville, GA 30135-7542 |
Street Address |
4645 TIMBER RIDGE DR SUITE 100 |
City | DOUGLASVILLE |
State | GA |
Zip | 30135-7542 |
Name | Specialty | Organization | Address |
---|---|---|---|
Firas George Hougeir | Dermatology | Douglas Dermatology and Skin Cancer Specialists LLC | 4645 Timber Ridge Dr, Suite 100, Douglasville, GA 30135-7542 |
Martha L Sikes | Physician Assistant | Douglas Dermatology and Skin Cancer Specialists LLC | 4645 Timber Ridge Dr, Suite 100, Douglasville, GA 30135-7542 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alvin F Cowans | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
Malissia F Hewett-mcneil | Chiropractic | 6942 Hwy 78 W, Douglasville, GA 30135 | |
Kathryn Lewis Padgett | Chiropractic | 3680 Kings Hwy, Douglasville, GA 30135 | |
Danielle Green-watson | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
Caroline C Anaele | Nurse Practitioner | 2121 Fairburn Rd B, Douglasville, GA 30135-1029 | |
Dingane Baruti | Family Medicine | 2022 Fairburn Rd D, Douglasville, GA 30135-1062 | |
Jaswant S Chaddha | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
Latoya Katrese Buford | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
Christopher J Baggett | Chiropractic | 2080 Fairburn Rd, Suite F, Douglasville, GA 30135-1064 | |
Heather R Camp | Chiropractic | Heather Robinson Camp LLC/camp Chiropractic | 2080 Fairburn Rd F, Douglasville, GA 30135-1064 |
Find all physicians in zip 30135 |
City | DOUGLASVILLE |
Zip Code | 30135 |
Specialty | PATHOLOGY |
City + Specialty | DOUGLASVILLE + PATHOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.