NPI | 1740227156 |
---|---|
Doing Business As | MAHONEY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK THOMAS MAHONEY Director 276-666-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102201617) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2015-05-12 |