Individual provider · Type 1 NPI

Brendan Michael Mahoney

Student in an Organized Health Care Education/Training Program · Valdosta, GA

NPI number 1114866779 Active

Practice location

2501 N Patterson St
Valdosta, GA 31602-1785

Call (229) 433-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114866779

Brendan Michael Mahoney's National Provider Identifier is 1114866779, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valdosta, GA. The record was last updated on Mar 27, 2026.