Individual
DR. MILES E MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD, DEPARTMENT OF WOMEN'S HEALTH AND NEWBORN CARE, FORT BENNING, GA 31905
(762) 408-2605
Mailing address
6600 VAN AALST BLVD, DEPARTMENT OF WOMEN'S HEALTH AND NEWBORN CARE, FORT BENNING, GA 31905
(762) 408-2605
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041911102
—
TX
Enumeration date
05/25/2006
Last updated
04/18/2022
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