Individual
COLLEEN PATRICIA MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2105 BRAXTON LN STE 101, GREENSBORO, NC 27408-2862
(336) 333-6306
(336) 333-6309
Mailing address
PO BOX 604345, CHARLOTTE, NC 28260-4345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103466
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196837
MEDCOST
NC
Enumeration date
04/20/2006
Last updated
05/02/2025
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