Individual
DR. HOWARD C MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 CARGILE RD, OCILLA, GA 31774-3606
(229) 468-9903
(229) 468-5417
Mailing address
361 CARGILE RD, OCILLA, GA 31774-3606
(229) 468-9903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00238587D
—
GA
05
—
909920400
—
FL
Enumeration date
04/06/2007
Last updated
03/13/2018
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