Individual
JEDIDIAH AARON MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 CROOKED CREEK PKWY, DURHAM, NC 27713-8505
(919) 620-5333
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
310546
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/02/2026
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