Individual
CARLY M MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
670 HIGHWAY 178 W STE 5, SHERMAN, MS 38869-7000
(662) 269-2151
Mailing address
1147 COUNTY ROAD 193, BLUE SPRINGS, MS 38828-9079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902291
MS
Other
Enumeration date
09/13/2017
Last updated
03/17/2018
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