Dr. Billy Wade Mahaney, M.D.
Radiology, Diagnostic Radiology in Brunswick, ME. Individual provider (NPI-1).
NPI number1457342966
StatusActive
Last updated in NPPESMay 21, 2023
Details
- NPI
- 1457342966
- Entity type
- Individual (NPI-1)
- Name
- Dr. Billy Wade Mahaney
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2005
- Certification date
- May 21, 2023
- Last updated
- May 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD22871 | ME | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | D0075283 | MD | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | M8806 | TX |
Practice location
123 Medical Center DrBrunswick, ME 04011-2652
Phone 207-373-6838
Mailing address
157 Princes Point RdBrunswick, ME 04011-3729
Phone 201-867-6427
Other practice locations
10 Wayman Ln
Bar Harbor, ME 04609-1625
Bar Harbor, ME 04609-1625
Phone 207-288-5081
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