Individual
DR. JOHN G MCMAHON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6512 WOODLAKE VILLAGE CIR, MIDLOTHIAN, VA 23112-2200
(804) 739-6730
(804) 739-6894
Mailing address
6512 WOODLAKE VILLAGE CIR, MIDLOTHIAN, VA 23112-2200
(804) 739-6730
(804) 739-6894
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300915
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010091144
—
VA
01
—
5293010001
MEDICARE DME PROVIDER
VA
Enumeration date
10/20/2006
Last updated
03/07/2023
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