Healthcare Provider Details
I. General information
NPI: 1659564318
Provider Name (Legal Business Name): CAROLINE M MOLINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/24/2007
Last Update Date: 12/07/2022
Certification Date: 12/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2451 UNIVERSITY HOSPITAL DR
MOBILE AL
36617-2300
US
IV. Provider business mailing address
PO BOX 746450
ATLANTA GA
30374-6450
US
V. Phone/Fax
- Phone: 251-471-0000
- Fax: 251-471-7096
- Phone: 407-476-4604
- Fax: 866-401-3057
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | ME107349 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD.45255 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: