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NPI Code Detail

MEDICARE: ALEXIS MCMAHAN

MEDICARE: ALEXIS MCMAHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1528927662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS MCMAHAN
Provider Business Mailing Address
First Line : 39 S WESTMOOR AVE APT 37D
Second Line :
City : NEWARK
State : OH
Zip : 43055-1849
Country : US
Telephone Number : 740-641-4257
Fax Number :
Provider Business Practice Location Address
First Line : 8402 BLACKJACK RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-9193
Country : US
Telephone Number : 740-397-0442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ ALEXIS MCMAHAN ” Practice Location

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