Healthcare Provider Details

I. General information

NPI: 1346772175
Provider Name (Legal Business Name): MOLLY MCDONOUGH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY HILLENBRAND

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE CLINIC- CLINIC 1K 40 DUKE MEDICINE CIR
DURHAM NC
27710-2364
US

IV. Provider business mailing address

315 TRENT DR DUMC BOX 102359
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-3197
  • Fax:
Mailing address:
  • Phone: 919-668-6053
  • Fax: 919-684-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35138681
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2023-00433
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: