SearchSouth Carolina390200000X

Lydia Mahan

NPI 1447172713 · on the registry since 2026

Practice

Address
1203 Jones St Apt A
Hanahan, SC 29410
Phone
(843) 812-9036

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina