Individual provider · NPI-1

Dr. Molly B Bouldin, MD

Dermatology, Dermatopathology · Birmingham, AL

NPI number1174502827
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1174502827
Entity type
Individual (NPI-1)
Name
Dr. Molly B Bouldin
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0900X Dermatology, Dermatopathology00025634ALYes

Practice location

521 Montgomery Hwy
Suite 117
Birmingham, AL 35216-1878

Phone 205-824-4441 · Fax 205-822-3978

Mailing address

521 Montgomery Hwy
Suite 117
Birmingham, AL 35216-1878

Phone 205-824-4441 · Fax 205-822-3978

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