Individual
MICHELE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2415 PARKWOOD DRIVE, BRUNSWICK, GA 31520-4722
(912) 466-7188
(912) 466-7513
Mailing address
2415 PARKWOOD DRIVE, BRUNSWICK, GA 31520-4722
(912) 466-7188
(912) 466-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
041264
CT
207R00000X
Internal Medicine Physician
064679
GA
208M00000X
Hospitalist Physician
Primary
64679
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64679
GA LICENSE
GA
Enumeration date
09/20/2006
Last updated
02/17/2017
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