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
Phone: (864) 234-7815
Fax: (864) 234-7846
Website:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336141167 | NPPES |
| South Carolina | MEDICAID | 046934 |
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