| D Michael Mahan Md Pa | |
|
120 Charles D Rollins Rd Suite 105 Henderson NC 27536-2882 | |
| (252) 436-6543 | |
| (252) 436-2109 |
| Full Name | D Michael Mahan Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Charles D Rollins Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Dennis Michael Mahan (CEO) |
| Authorized Official Contact | 9196937108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Michael Mahan Md Pa 120 Charles D Rollins Rd Suite 105 Henderson NC 27536-2882 Ph: (252) 436-6543 | D Michael Mahan Md Pa 120 Charles D Rollins Rd Suite 105 Henderson NC 27536-2882 Ph: (252) 436-6543 |
| NPI Number | 1427056027 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427056027 | NPI | - | NPPES |
| 012JG | Other | NC | BCBSNC |
| 89012JG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25053 (North Carolina) | Primary |
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