Provider Demographics
NPI:1497877468
Name:CHRISTENBURY, MARY MCMAHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:MCMAHAN
Last Name:CHRISTENBURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2160 FOUNTAIN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7022
Mailing Address - Country:US
Mailing Address - Phone:678-990-1880
Mailing Address - Fax:678-990-1884
Practice Address - Street 1:2160 FOUNTAIN DR STE 100
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7022
Practice Address - Country:US
Practice Address - Phone:678-990-1880
Practice Address - Fax:678-990-1884
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA886222084P0800X
NC274372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry