| NPI | 1356768097 |
|---|---|
| Other Name | MAHONEY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS MAHONEY Owner 276-666-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102201617) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |