Individual
MS. CONNIE MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED PRACTICE NU
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
RN67898
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN67898
LICENSE
TN
Enumeration date
11/16/2006
Last updated
07/08/2007
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