Organization
MAHAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(800) 661-3365
Entity
Organization
Contact information
Practice address
1705 MAHAN DR, TALLAHASSEE, FL 32308-5201
(850) 877-7164
(850) 656-1391
Mailing address
1705 MAHAN DR, TALLAHASSEE, FL 32308-5201
(850) 877-7164
(850) 656-1391
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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