Individual
JAMES RUDOLPH MAHANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 WG ACKER DRIVE, SUITE D, PICKENS, SC 29671
(864) 898-1360
(864) 898-1037
Mailing address
PO BOX 919, PICKENS, SC 29671-0919
(864) 897-8280
(864) 897-8281
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6957
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4587
—
SC
Enumeration date
02/16/2007
Last updated
08/17/2010
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