Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 024027 | GA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 024027 | GA |
NPI | 1013904390 |
---|---|
Provider Name | Dr. Howard A. Mcmahan |
First Address | Atlanta, GA 30308-2247 |
Second Address | Atlanta, GA 30308-2247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000250511D | (05) | GA |
D46099 | (02) | GA |