Healthcare Provider Details

I. General information

NPI: 1932413614
Provider Name (Legal Business Name): ANGELA HOPE MOLNAR DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 UNIVERSITY PKWY STE 2600
AIKEN SC
29801-6829
US

IV. Provider business mailing address

410 UNIVERSITY PKWY STE 2600
AIKEN SC
29801-6829
US

V. Phone/Fax

Practice location:
  • Phone: 803-644-4264
  • Fax: 803-293-1523
Mailing address:
  • Phone: 803-644-4264
  • Fax: 803-293-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number609
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: