# MARK T MAHONEY DO PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MAHONEY FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356768097
- **Authorized official:** DR. MARK THOMAS MAHONEY DO (OWNER)
- **Authorized official phone:** (276) 666-0500

## Contact information

- **Practice address:** 445 COMMONWEALTH BLVD E, SUITE A, MARTINSVILLE, VA 24112-2086
- **Practice address phone:** (276) 666-0500
- **Practice address fax:** (276) 666-0400
- **Mailing address:** PO BOX 5544, MARTINSVILLE, VA 24115-5544
- **Mailing address phone:** (276) 666-0500
- **Mailing address fax:** (276) 666-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102201617 | VA | Yes |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 03/19/2014