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Individual

DR. PHILIP ANDREW MAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
813 S MAIN ST, LEXINGTON, NC 27292-3150
(336) 243-8000
(336) 243-8001
Mailing address
813 S MAIN ST, LEXINGTON, NC 27292-3150
(336) 243-8000
(336) 243-8001

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2779
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08453
BLUE CROSS/BLUE SHEILD
NC
01
2024315
FITSR HEALTH
NC
01
2684545
AETNA HMO
NC
01
37243
PATRNERS
NC
01
616607
AMERICAN CHIROPRACTIC NET
NC
01
6416476001
CIGNA PPO
NC
01
7108174
AETNA PPO
NC
05
7908453
NC
Enumeration date
10/04/2005
Last updated
09/25/2012
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