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Contact Information

MOLLIE H HERZBERGER, PA
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING, GA30041-6017
 Phone: 770-844-0877
 Fax: 770-844-0891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MOLLIE H HERZBERGER · (Female)

NPI # 1003868175
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/17/2006
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 004448
  • GA Medicaid 119046432
  • GA Medicaid 119046432B
  • GA Medicaid 119046432C
  • GA Other 10044976 AMERIGROUP
  • GA Other 11051 BLUE CROSS BLUE SHIELD
  • GA Other 333508 WELLCARE
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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