LARRY BLAINE MAHOOD

LILLINGTON, NC
NPI1700130333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-03901)
Enumeration Date2012-11-05
Last Update Date2012-11-05
Business Address
-- LARRY BLAINE MAHOOD PA-C
100 S 10TH ST
LILLINGTON, NC 27546-6690
Phone number: 910-893-4111
Mailing Address
-- LARRY BLAINE MAHOOD PA-C
100 S 10TH ST
LILLINGTON, NC 27546-6690
Phone number: 910-893-4111
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