Provider Demographics
NPI:1326003963
Name:MAHON, JOHN KARL (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KARL
Last Name:MAHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:515 LAUCHWOOD DR
Mailing Address - Street 2:B
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5502
Mailing Address - Country:US
Mailing Address - Phone:910-266-9876
Mailing Address - Fax:910-266-9884
Practice Address - Street 1:515 LAUCHWOOD DR
Practice Address - Street 2:B
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5502
Practice Address - Country:US
Practice Address - Phone:910-266-9876
Practice Address - Fax:910-266-9884
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2016-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2002012792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31293Medicare UPIN
C31293Medicare UPIN