Individual
DR. JAMES ROGER MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S MAIN ST, FOUNTAIN INN FAMILY PRACTICE, FOUNTAIN INN, SC 29644-1931
(864) 862-3471
(864) 862-2444
Mailing address
300 S MAIN ST, FOUNTAIN INN FAMILY PRACTICE, FOUNTAIN INN, SC 29644-1931
(864) 862-3471
(864) 862-2444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8010
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080101
—
SC
Enumeration date
10/04/2006
Last updated
07/08/2007
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