Individual
DR. ROBERT G MAHON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 E NORTH ST STE 5, GREENVILLE, SC 29615
(864) 234-7815
(864) 234-7846
Mailing address
4200 E NORTH ST STE 5, GREENVILLE, SC 29615-2437
(864) 234-7815
(864) 234-7846
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4693
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046934
—
SC
Enumeration date
08/11/2005
Last updated
06/22/2018
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