Individual
DR. MICHAEL A MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2829 VIRGINIA AVE, NARROWS, VA 24124-2369
(540) 726-7900
Mailing address
PO BOX 355, PEARISBURG, VA 24134-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-027814
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005646871
—
VA
05
—
5646898
—
VA
Enumeration date
11/22/2005
Last updated
12/06/2008
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