Individual
DENNIS MICHAEL MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1032 COLLEGE ST, OXFORD, NC 27565-2507
(919) 693-6541
(919) 693-7396
Mailing address
PO BOX 986, OXFORD, NC 27565-0986
(919) 690-3487
(919) 690-3246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25053
NC
208D00000X
General Practice Physician
25053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080181994
RAILROAD MEDICARE
—
01
—
080185950
RAILROAD MEDICARE
—
01
—
53753
BCBS
NC
05
—
8953753
—
NC
Enumeration date
07/05/2005
Last updated
07/21/2022
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