Organization
THOMAS K MCMAHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KEITH MCMAHAN MD (OWNER)
(336) 667-2634
Entity
Organization
Contact information
Practice address
1710 PARKWOOD DRIVE, WILKESBORO, NC 28697
(336) 667-2634
(336) 667-6435
Mailing address
PO BOX 976, 1710 PARKWOOD DRIVE NORTH SUITE, WILKESBORO, NC 28697
(336) 667-2634
(336) 667-6435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18805
NC
207R00000X
Internal Medicine Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8957769
—
NC
Enumeration date
12/01/2006
Last updated
08/22/2020
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