Healthcare Provider Details

I. General information

NPI: 1164853479
Provider Name (Legal Business Name): MOLLY H. KLEIN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW SUITE 625
ATLANTA GA
30318-2538
US

IV. Provider business mailing address

1800 HOWELL MILL RD NW SUITE 625
ATLANTA GA
30318-2538
US

V. Phone/Fax

Practice location:
  • Phone: 404-425-7949
  • Fax: 404-425-7948
Mailing address:
  • Phone: 404-425-7949
  • Fax: 404-425-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: