Provider Demographics
NPI:1992983563
Name:MCGINNIS, MOLLY ANN (MED)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ANN
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 BELLEVUE RD
Mailing Address - Street 2:APARTMENT N7
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2743
Mailing Address - Country:US
Mailing Address - Phone:615-504-0544
Mailing Address - Fax:615-942-5651
Practice Address - Street 1:865 BELLEVUE RD
Practice Address - Street 2:APARTMENT N7
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2743
Practice Address - Country:US
Practice Address - Phone:615-504-0544
Practice Address - Fax:615-942-5651
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist