Lan T Mahon


Address: 1786 Oak Rd B, Snellville, GA 30078-2220

Lan T Mahon (NPI# 1346240355, PAC ID# 4284529710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1346240355
PAC ID by PECOS 4284529710
Professional Enrollment ID I20040216000365
Full Name Lan T Mahon
Address 1786 Oak Rd B
Snellville
GA 30078-2220
Gender F
Credential MD
Graduation Year 1994
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110192 EASTSIDE MEDICAL CENTER
110087 GWINNETT MEDICAL CENTER
110005 NORTHSIDE HOSPITAL FORSYTH

Other Locations

Address Phone Organization
1786 Oak Rd B, Snellville, GA 30078-2220

Organization Information

Office Location

Street Address 1786 OAK RD B
City SNELLVILLE
State GA
Zip 30078-2220

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Competitor

Search similar physicians

City SNELLVILLE
Zip Code 30078
Specialty FAMILY PRACTICE
City + Specialty SNELLVILLE + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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