Bohanan, Mac
Bohanan, Mac is an individual health care provider with primary practice located at 1459 Laney Walker Blvd , Augusta GA 30912-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bohanan, Mac can be contacted via phone (706) 721-3371.Contact Information
Primary practice address
1459 Laney Walker Blvd
Augusta GA 30912-0002
Phone: (706) 721-3371
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11988 | Georgia |
Profile Details
| NPI number | 1861017139 |
|---|---|
| LBN Legal business name | Bohanan, Mac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2020 |
| Last updated | Jun 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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