Organization
MCMAHAN SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST E. MCMAHAN C. PED. (PRESIDENT)
(404) 634-9500
Entity
Organization
Contact information
Practice address
2122 N DECATUR RD, DECATUR, GA 30033-5367
(404) 634-9500
(404) 634-9555
Mailing address
2122 N DECATUR RD, DECATUR, GA 30033-5367
(404) 634-9500
(404) 634-9555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
10/23/2009
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