Provider Demographics
NPI:1003179326
Name:CECIL, MOLLIE MCCARTNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:MCCARTNEY
Last Name:CECIL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:527 MEDICAL PARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9009
Mailing Address - Country:US
Mailing Address - Phone:681-342-7570
Mailing Address - Fax:681-342-7571
Practice Address - Street 1:527 MEDICAL PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9009
Practice Address - Country:US
Practice Address - Phone:681-342-7570
Practice Address - Fax:681-342-7571
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2023-12-11
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Provider Licenses
StateLicense IDTaxonomies
WV25811207Q00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine