Individual
MR. CHRISTOPHER EDWARD MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1400 JOHNSTON WILLIS DR, SUITE A, RICHMOND, VA 23235-4765
(804) 379-8088
Mailing address
1115 BOULDERS PKWY, STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 307-9849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
126000086
VA
363A00000X
Physician Assistant
Primary
0110003521
VA
Other
Enumeration date
03/26/2007
Last updated
10/20/2020
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