Provider Demographics
NPI:1821152117
Name:MCQUIGG, MOLLY JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:JANE
Last Name:MCQUIGG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MOLLY
Other - Middle Name:MCQUIGG
Other - Last Name:GILHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:39 BEAM LANE
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939
Mailing Address - Country:US
Mailing Address - Phone:540-213-7750
Mailing Address - Fax:540-213-7755
Practice Address - Street 1:39 BEAM LANE
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22980
Practice Address - Country:US
Practice Address - Phone:540-213-7750
Practice Address - Fax:540-213-7755
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47472207V00000X
VA0101244578207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1821152117Medicaid
VA1821152117Medicaid