Mahon, Robert G

Mahon, Robert G is an individual health care provider with primary practice located at 4200 E North St Ste 5 , Greenville SC 29615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mahon, Robert G can be contacted via phone (864) 234-7815.

Contact Information

Primary practice address
4200 E North St Ste 5 Greenville SC 29615
Fax: (864) 234-7846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4693 South Carolina

Profile Details

NPI number 1336141167
LBN Legal business name Mahon, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 22nd, 2018 - about 6 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 1336141167 NPPES
South Carolina MEDICAID 046934

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