Bearden, Molly Marie

Bearden, Molly Marie is an individual health care provider with primary practice located at 1289 Gi Maddox Pkwy , Chatsworth GA 30705-2069. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bearden, Molly Marie can be contacted via phone (706) 971-3366.

Contact Information

Primary practice address
1289 Gi Maddox Pkwy Chatsworth GA 30705-2069
Phone: (706) 971-3366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN04532 Georgia

Profile Details

NPI number 1104395300
LBN Legal business name Bearden, Molly Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2018
Last updated Nov 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104395300 NPPES
Georgia MEDICAID 164W0000X

Popular Providers