Individual
DR. CHARLES SAMUEL MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3111 E. FLETCHER AV., TAMPA, FL 33611
(813) 988-1259
(813) 974-8889
Mailing address
3111 E. FLETCHER AV., TAMPA, FL 33611
(813) 988-1259
(813) 974-8889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME26199
FL
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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