Mcmahon, Yvonne

Mcmahon, Yvonne is an individual health care provider with primary practice located at 345 W Broad St , Cookeville TN 38501-2331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcmahon, Yvonne can be contacted via phone (931) 528-1485.

Contact Information

Primary practice address
345 W Broad St Cookeville TN 38501-2331
Phone: (931) 528-1485
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000017671 Tennessee

Profile Details

NPI number 1073578738
LBN Legal business name Mcmahon, Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1073578738 NPPES
Tennessee Other 4100509 BLUE CROSS-BLUE SHIELD
Tennessee MEDICAID 3054756 BLUE CROSS-BLUE SHIELD

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