Individual
DR. NICOLE SARAH MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(504) 391-7585
Mailing address
1 ELK RIDGE LN, SOUTHERN PINES, NC 28387-5173
(504) 491-0423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00237
NC
208000000X
Pediatrics Physician
MD.203974
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882968
—
LA
Enumeration date
04/06/2009
Last updated
07/02/2014
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