Mahoney Family Medicine | |
100 College Drive Martinsville VA 24112 | |
(276) 666-0500 | |
(276) 666-0400 |
Full Name | Mahoney Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 100 College Drive, Martinsville, Virginia |
Authorized Official Name and Position | Mark Thomas Mahoney (DIRECTOR) |
Authorized Official Contact | 2766660500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mahoney Family Medicine 100 College Drive Martinsville VA 24112 Ph: (276) 666-0500 | Mahoney Family Medicine 100 College Drive Martinsville VA 24112 Ph: (276) 666-0500 |
NPI Number | 1740227156 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 05/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740227156 | NPI | - | NPPES |
7547584 | Other | VA | AETNA |
610906400 | Other | VA | OWCP-DOL |
9960505 | Other | VA | CIGNA |
010098467 | Medicaid | VA | |
249329 | Other | VA | SOUTHERN HEALTH |
146677 | Other | VA | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0102201617 (Virginia) | Primary |
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