Individual
DR. ALONZO J MAHURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD., D.O.
Contact information
Practice address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Mailing address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-3680
(334) 613-3685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008085
—
AL
01
—
01 11606
UNITED HEALTHCARE
AL
01
—
051008085
BLUE CROSS BLUE SHIELD
—
01
—
080141135
RAILROAD MEDICARE
AL
01
—
630813275
COMMERCIAL PRV
AL
Enumeration date
03/07/2006
Last updated
04/09/2008
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