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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110192 | EASTSIDE MEDICAL CENTER |
110087 | GWINNETT MEDICAL CENTER |
110005 | NORTHSIDE HOSPITAL FORSYTH |
Address | Phone | Organization |
---|---|---|
1786 Oak Rd B, Snellville, GA 30078-2220 |
Street Address |
1786 OAK RD B |
City | SNELLVILLE |
State | GA |
Zip | 30078-2220 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
Find all physicians in zip 30078 |
City | SNELLVILLE |
Zip Code | 30078 |
Specialty | FAMILY PRACTICE |
City + Specialty | SNELLVILLE + FAMILY PRACTICE |
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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.