Larry Michael Mason M.D.

NPI 1730171414 - Family Medicine - 207Q00000X

NPI Details
NPI 1730171414
Gender Male
Enumeration Date 08/18/2005
Last Updated 10/30/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
8401 HIGHWAY 111
BYRDSTOWN TN, 38549-6031, US
Phone (931) 864-3187
Fax (931) 864-7102
Business Location
8401 HIGHWAY 111
BYRDSTOWN TN, 38549-6031, US
Phone (931) 864-3187
Fax (931) 864-7102
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD0000013950
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According to our database, Mr. Larry Michael Mason M.D. NPI is 1730171414, taxonomy code is 207Q00000X and license number is MD0000013950, license state is located at Tennessee. Larry Michael Mason M.D. physically located at 8401 Highway 111, Byrdstown TN, 38549-6031. NPI Number Larry Michael Mason M.D. has the Individual type.

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1730171414 NPI number is provided on an as is basis without warranty of any kind. 1730171414 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Michael Mason M.D. are for informational purposes only.