Mac Bohanan, MD
Psychiatry & Neurology, Neurology in Tallahassee, FL. Individual provider (NPI-1).
NPI number1861017139
StatusActive
Last updated in NPPESAug 15, 2025
Details
- NPI
- 1861017139
- Entity type
- Individual (NPI-1)
- Name
- Mac Bohanan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 11988 | GA | Yes |
Practice location
1401 Centerville Rd Ste 600Tallahassee, FL 32308-4661
Phone 850-878-8121 · Fax 850-942-6515
Mailing address
1401 Centerville Rd Ste 300Tallahassee, FL 32308-4675
Phone 850-878-8121 · Fax 509-426-5158
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