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Individual
CRYSTAL HAMILTON MCMAHAN
Active
Individual
CRYSTAL HAMILTON MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
42203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000651185
ANTHEM
KY
01
—
50027952
PASSPORT
KY
05
—
7100059430
—
KY
Enumeration date
04/12/2007
Last updated
12/09/2020
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