Individual
BRANDON KENNETH MAHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
620 CHEROKEE ST NE STE 300, MARIETTA, GA 30060-7233
(770) 635-1812
Mailing address
3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2296
(678) 996-7230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT018066
LICENSE
GA
Enumeration date
10/07/2025
Last updated
10/07/2025
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