Individual
SANDRA E. MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
2450 INDIA HOOK ROAD, SUITE B, ROCK HILL, SC 29732-3271
(803) 328-0181
(803) 328-0553
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(803) 328-0181
(803) 328-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19087
SC
207R00000X
Internal Medicine Physician
9700330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110146452
RR MEDICARE
—
01
—
1182V
BCBS-NC
NC
05
—
190876
—
SC
Enumeration date
07/20/2006
Last updated
12/09/2016
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