Individual
DR. BLAITHIN ANTOINETTE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PH,D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0005
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
81550
SC
207RN0300X
Nephrology Physician
D81328
MD
Other
Enumeration date
07/10/2011
Last updated
10/09/2018
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