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General NPI Number Information
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NPI Number | 1891875985
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Entity Type | Individual
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Provider Name | MOLLY MCCARTHY WALSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2170 MIDLAND RD
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2999
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Country | US
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Telephone | 910-295-2100
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Fax | 910-295-3625
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Provider Business Mailing Address
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Address Line | 230 E DAY RD STE 100
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City | MISHAWAKA
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State | IN
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Zip | 46545-3408
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Country | US
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Telephone | 574-271-3939
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Fax | 574-271-3941
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 200400616
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2004-00616
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01085122A
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License Number State | IN
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