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NPI Code Detail

MEDICARE: MOLLY CHRISTOPHER

MEDICARE:   MOLLY  CHRISTOPHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-434522GA

General Provider Information

NPI Number : 1750211314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY CHRISTOPHER
Provider Business Mailing Address
First Line : 4315 ARBOR LANDING DR
Second Line :
City : MARIETTA
State : GA
Zip : 30066-2250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4315 ARBOR LANDING DR
Second Line :
City : MARIETTA
State : GA
Zip : 30066-2250
Country : US
Telephone Number : 404-769-1644
Fax Number : 404-769-1644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ MOLLY CHRISTOPHER ” Practice Location

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