Mahood, Larry Blaine

Mahood, Larry Blaine is an sole proprietor health care provider with primary practice located at 100 S 10Th St , Lillington NC 27546-6690. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mahood, Larry Blaine can be contacted via phone (910) 893-4111.

Contact Information

Primary practice address
100 S 10Th St Lillington NC 27546-6690
Fax: (910) 893-9850
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03901 North Carolina

Profile Details

NPI number 1700130333
LBN Legal business name Mahood, Larry Blaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 13 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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