Mrs Molly Smith Ingram, is a
Physician Assistant based in Harlem, Georgia. Mrs Molly Smith Ingram is licensed to practice in * (Not Available) (license number ) and her current practice location is
1331 Appling Harlem Rd, Harlem, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 556-2012.
NPI number for Mrs Molly Smith Ingram is 1396576732 and her current mailing address is 516 Martin Ln, Augusta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396576732.
Provider's Profile
| Full Name | Mrs Molly Smith Ingram |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1331 Appling Harlem Rd, Harlem, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396576732
- Provider Enumeration Date: 08/08/2024
- Last Update Date: 08/08/2024
Medical Identifiers
Medical identifiers for Mrs Molly Smith Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396576732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Molly Smith Ingram is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Molly Smith Ingram,
516 Martin Ln,
Augusta, GA 30909-3406
Ph: (478) 365-1215 | Mrs Molly Smith Ingram,
1331 Appling Harlem Rd,
Harlem, GA 30814-4130
Ph: (706) 556-2012 |
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