| Molly Cage Llc | |
|
2746 Red Lane Rd Powhatan VA 23139-5118 | |
| (804) 839-3161 | |
| Not Available |
| Full Name | Molly Cage Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2746 Red Lane Rd, Powhatan, Virginia |
| Authorized Official Name and Position | Molly Cage (PRESIDENT) |
| Authorized Official Contact | 8048393161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Cage Llc Po Box 11768 Richmond VA 23230-0168 Ph: (804) 353-4000 | Molly Cage Llc 2746 Red Lane Rd Powhatan VA 23139-5118 Ph: (804) 839-3161 |
| NPI Number | 1407585870 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 4284018136 |
|---|---|
| Medicare Enrollment ID | O20220826001793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407585870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Molly Cage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144426354 PECOS PAC ID: 7315081908 Enrollment ID: I20100220000076 |
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