Mcmahan, Lynn Bryce

Mcmahan, Lynn Bryce is an individual health care provider with primary practice located at 1420 S 28Th Ave , Hattiesburg MS 39402-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mcmahan, Lynn Bryce can be contacted via phone (601) 264-3937.

Contact Information

Primary practice address
1420 S 28Th Ave Hattiesburg MS 39402-3107
Fax: (601) 264-5930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 06437 Mississippi

Profile Details

NPI number 1669475695
LBN Legal business name Mcmahan, Lynn Bryce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 15th, 2009 - about 15 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 1669475695 NPPES
Mississippi MEDICAID 00115828
Mississippi Other 512I180020
Mississippi Other 512I180021

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