| Mahon Family Medicine | |
|
1786 Oak Rd Suite B Snellville GA 30078-2220 | |
| (770) 925-2526 | |
| Not Available |
| Full Name | Mahon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1786 Oak Rd, Snellville, Georgia |
| Authorized Official Name and Position | Shelly L Harper (OWNER) |
| Authorized Official Contact | 7709252526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahon Family Medicine 1786 Oak Rd Suite B Snellville GA 30078-2220 Ph: (770) 925-2526 | Mahon Family Medicine 1786 Oak Rd Suite B Snellville GA 30078-2220 Ph: (770) 925-2526 |
| NPI Number | 1629318035 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 5193970267 |
|---|---|
| Medicare Enrollment ID | O20130222000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629318035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43693 (Georgia) | Primary |
| Provider Name | Scott Terry Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609861830 PECOS PAC ID: 7214036656 Enrollment ID: I20070626000136 |
| Provider Name | Shelly Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700438991 PECOS PAC ID: 0840623682 Enrollment ID: I20191209001228 |
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