MAC BOHANAN


Address: 1459 Laney Walker Blvd, Augusta, GA 30912-0002
Phone: 7067213371

MAC BOHANAN (NPI# 1861017139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861017139
Entity Type Individual
Full Name MAC BOHANAN
Credential MD
Practice Address 1459 Laney Walker Blvd
Augusta
GA 30912-0002
Practice Telephone 7067213371
Enumeration Date 2020-06-12
Last Update Date 2020-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
11988 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1459 LANEY WALKER BLVD
City AUGUSTA
State GA
Zip Code 30912-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639158900 Walter Jack Morris Dentist 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912-0002 2006-01-13
1932725694 Liniya Tauhidul Family Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-18
1740805852 Nafiz Kalam Sheikh Psychiatry & Neurology 1459 Laney Walker Blvd, Augusta, GA 30912-0001 2020-06-15
1265057426 Mallika Patel Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-13
1578188728 Dhruti Prashant Diwan Anesthesiology 1459 Laney Walker Blvd, Augusta, GA 30912-3529 2020-06-13
1043835317 Jesse William Wayson Obstetrics & Gynecology 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1609491950 Taylor Payne Internal Medicine 1459 Laney Walker Blvd, Augusta, GA 30912-0002 2020-06-12
1184249443 Yasasvi Tadavarthi Internal Medicine 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912-0004 2020-06-12
1376168807 Erica Demaagd Pediatrics 1459 Laney Walker Blvd, Ae 3042, Augusta, GA 30912 2020-06-10
1487278875 Trevor Douglas Van De Water Anesthesiology 1459 Laney Walker Blvd, Augusta, GA 30912-0004 2020-06-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407349103 Ahmed Babiker Psychiatry & Neurology 1130 15th St, Augusta, GA 30912-0004 2018-06-07
1841580685 Elizabeth Kim Rutkowski Psychiatry & Neurology 1120 15th St Neurology Dept, Augusta, GA 30912-2204 2011-04-13
1942590872 Alexis Bashinski Shaefer Psychiatry & Neurology 1210 Roy Rd, Augusta, GA 30909-1812 2011-04-12
1083813398 Martha Easler Nichols Psychiatry & Neurology 2411 Mcdowell St, Augusta, GA 30904-4635 2007-07-16
1699813741 Edward Martin Mendoza Psychiatry & Neurology 3556 Pebble Beach Dr, Augusta, GA 30907-9520 2007-02-01
1053419184 Augusta Neurology Pa Psychiatry & Neurology 55 Middle Street, Suite 1, Augusta, ME 04330 2006-09-20
1821027665 Ranjit K Sethi Md PC Psychiatry & Neurology 820 St Sebastian Way, Suite 5c, Augusta, GA 30901 2006-07-02
1649222712 Benjamin Bashinski, IIi Psychiatry & Neurology 1210 Roy Road, Augusta, GA 30909 2006-05-17
1609850650 Veena U Jerath Psychiatry & Neurology 1228 Augusta West Pkwy, Augusta, GA 30909-1854 2005-12-02
1861482390 Matthew Christopher Smith Psychiatry & Neurology 3623 J Dewey Gray Cir Ste 210, Augusta, GA 30909-6554 2005-10-26
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Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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