Individual
PHILIP A MAHONEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HEYWOOD AVE, SPARTANBURG, SC 29302-1210
(864) 562-5102
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246362
—
SC
01
—
P01617594
RAILROD MEDICARE
SC
Enumeration date
05/22/2006
Last updated
02/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us