Individual
ANGEL FORD MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-2322
Mailing address
2262 SANDY POINT LN, MT PLEASANT, SC 29466-8933
(843) 881-2513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LL30127
SC
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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