Mahan, Miles E

Mahan, Miles E is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd Department Of Women'S Health And Newborn Care, Fort Benning GA 31905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mahan, Miles E can be contacted via phone (762) 408-2605.

Contact Information

Primary practice address
6600 Van Aalst Blvd Department Of Women'S Health And Newborn Care Fort Benning GA 31905
Phone: (762) 408-2605
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J4320 Texas

Profile Details

NPI number 1164478061
LBN Legal business name Mahan, Miles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Apr 18th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164478061 NPPES
Texas MEDICAID 041911102

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