Individual
MAC BOHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 CENTERVILLE RD STE 600, TALLAHASSEE, FL 32308-4661
(850) 878-8121
(850) 942-6515
Mailing address
1401 CENTERVILLE RD STE 300, TALLAHASSEE, FL 32308-4675
(850) 878-8121
(509) 426-5158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11988
GA
Other
Enumeration date
06/12/2020
Last updated
08/15/2025
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