Individual
MICHAEL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29710 URGENT CARE DR, DAPHNE, AL 36526-9595
(251) 626-3782
(251) 626-0782
Mailing address
29710 URGENT CARE DR, DAPHNE, AL 36526-9595
(251) 626-3782
(251) 626-0782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23239
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093689
BLUE CROSS
AL
Enumeration date
09/14/2006
Last updated
10/29/2012
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