Individual
JOHN F MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15830 BALLANTYNE MEDICAL PLACE, SUITE 200, CHARLOTTE, NC 28277-3297
(704) 446-4000
(704) 446-4098
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(704) 446-4000
(704) 446-4098
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
34077
NC
207RX0202X
Medical Oncology Physician
Primary
34077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063429561
—
NC
01
—
53737
BCBS
NC
05
—
8953737
—
NC
05
—
N34077
—
SC
Enumeration date
08/01/2006
Last updated
01/12/2017
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