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Individual

TIMOTHY JOHN MCMAHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, OCS

Contact information

Practice address
3001 MERCER UNIVERSITY DR, DAVIS BUILDING, SUITE 106, ATLANTA, GA 30341-4115
(678) 547-6778
(678) 547-6202
Mailing address
3001 MERCER UNIVERSITY DR, DAVIS BUILDING, SUITE 106, ATLANTA, GA 30341-4115
(678) 547-6778
(678) 547-6202

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003086
GA
2251S0007X
Sports Physical Therapist
003086
GA
2251X0800X
Orthopedic Physical Therapist
Primary
003086
GA

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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