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1790800472
EDWARD P MAHAN
AUSTELL, GA
NPI
1790800472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003847)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
EDWARD P MAHAN PA
3820 MEDICAL PARK DR
AUSTELL, GA 30106-1110
Phone number: 770-948-6041
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Mailing Address
EDWARD P MAHAN PA
535 MAXHAM RD SUITE A
AUSTELL, GA 30168-5541
Phone number: 770-948-5409
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