D Michael Mahan Md Pa

LBN: D Michael Mahan Md Pa
D Michael Mahan Md Pa is an health care organization with primary practice located at 120 Charles D Rollins Rd Suite 105, Henderson NC 27536-2882. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. D Michael Mahan Md Pa can be contacted via phone (252) 436-6543, or through Mahan, Dennis Michael via phone (919) 693-7108.

Contact Information

Primary practice address
120 Charles D Rollins Rd Suite 105 Henderson NC 27536-2882
Fax: (252) 436-2109
Website:
Authorized official contact:
Name: Mahan, Dennis Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25053 North Carolina

Profile Details

NPI number 1427056027
LBN Legal business name D Michael Mahan Md Pa
DBA Doing business as
Authorized official Mahan, Dennis Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427056027 NPPES
North Carolina Other 012JG BCBSNC
North Carolina MEDICAID 89012JG BCBSNC

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