Individual
HARRISON S MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1747 BAPTIST CLAY DR STE 200, FLEMING ISLAND, FL 32003-8505
(904) 161-9503
(904) 376-3062
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME151513
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME151513
FL
Other
Enumeration date
01/27/2015
Last updated
01/22/2025
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