Provider Demographics
NPI:1639126741
Name:MCMAHON, JOHN MARTIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:MCMAHON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2847
Mailing Address - Street 2:DEPT 1060
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36652-2847
Mailing Address - Country:US
Mailing Address - Phone:562-809-3530
Mailing Address - Fax:562-924-5830
Practice Address - Street 1:3719 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1753
Practice Address - Country:US
Practice Address - Phone:251-460-5333
Practice Address - Fax:251-460-5295
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2010-10-13
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Provider Licenses
StateLicense IDTaxonomies
AL13833207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000086320559400060Medicaid
ALC68888Medicare UPIN
AL000086320559400060Medicaid