Organization
SOUTH COAST RADIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCMAHON M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 363-4321
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003612
—
NH
Enumeration date
12/21/2005
Last updated
07/16/2007
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