Mahoney, Ormonde M

Mahoney, Ormonde M is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mahoney, Ormonde M can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Fax: (706) 546-8792
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30825 Georgia

Profile Details

NPI number 1518948835
LBN Legal business name Mahoney, Ormonde M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Mar 11th, 2024 - about 8 months 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 1518948835 NPPES
Other 11334232 CAQH NUMBER

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