Individual
SHAWN SAMUEL MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
(614) 792-6240
Mailing address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(813) 842-1775
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005509
OH
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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