| Doctor Name: | CALLIE ORAE MCMAHON |
| NPI Number: | 1003867086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | C0003192 |
| Business Practice Address: | 262 Church Rd Brunswick, ME - 040117302 |
| Business Phone Number: | 2073731572 |
| Business Fax Number: | |
| Mailing Address: | 262 Church Road, BRUNSWICK |
| State: | ME |
| Postal Code: | 04011 |
| Phone Number: | 2073731572 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2006 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | C0003192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |