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1861017139
MAC BOHANAN
AUGUSTA, GA
NPI
1861017139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA 11988)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
MAC BOHANAN MD
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number: 706-721-3371
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Mailing Address
MAC BOHANAN MD
1459 LANEY WALKER BLVD
AUGUSTA, GA 30912-0002
Phone number:
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