Organization
MCMAHAN SHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE N PSILLAS CERTIFIED PEDORTHIST (PRESIDENT)
(864) 585-1579
Entity
Organization
Contact information
Practice address
249 E MAIN ST, SPARTANBURG, SC 29306-5135
(864) 585-1579
(864) 597-1071
Mailing address
PO BOX 6142, SPARTANBURG, SC 29304-6142
(864) 585-1579
(864) 597-1071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Enumeration date
01/13/2007
Last updated
08/22/2020
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