Mabry, Molly Ann
Mabry, Molly Ann is an individual health care provider with primary practice located at 808 Farrar Drive , Conway SC 29526-8747. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mabry, Molly Ann can be contacted via phone (843) 234-8700.Contact Information
Primary practice address
808 Farrar Drive
Conway SC 29526-8747
Phone: (843) 234-8700
Fax: (843) 234-8689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5122 | South Carolina |
Profile Details
| NPI number | 1245012681 |
|---|---|
| LBN Legal business name | Mabry, Molly Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2023 |
| Last updated | Aug 28th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245012681 | NPPES |
| South Carolina | MEDICAID | 6595PA |
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