Individual
BRIAN LANE MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-13655
ID
2085R0202X
Diagnostic Radiology Physician
MD-43449
IA
Other
Enumeration date
04/21/2011
Last updated
01/10/2018
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