Provider Demographics
NPI:1992301691
Name:NALL, MOLLY ADDISON (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MOLLY
Middle Name:ADDISON
Last Name:NALL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 746450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6450
Mailing Address - Country:US
Mailing Address - Phone:866-401-3057
Mailing Address - Fax:318-868-6430
Practice Address - Street 1:1901 SPRINGHILL AVENUE
Practice Address - Street 2:CARDIOVASCULAR ASSOCIATES PC
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607
Practice Address - Country:US
Practice Address - Phone:251-300-2240
Practice Address - Fax:251-300-2249
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2024-01-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical