Tina M. Mason, M.d., L.l.c.

NPI 1215112321 - Legal Medicine - 173000000X

NPI Details
NPI 1215112321
Enumeration Date 01/08/2008
Last Updated 01/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARGARETTE ANN MARGARETTE
Position MEDICAL PRACTICE MANAGER
Phone (678) 985-5800
Fax
Practice Location
935 RIVER CENTRE PL
SUITE 200
LAWRENCEVILLE GA, 30043-7322, US
Phone (678) 985-5800
Fax
Business Location
935 RIVER CENTRE PL
SUITE 200
LAWRENCEVILLE GA, 30043-7322, US
Phone (678) 985-5800
Fax
Toxanomy
Taxonomy Code 173000000X
License State Georgia
License Number 039405
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According to our database, Tina M. Mason, M.d., L.l.c. NPI is 1215112321, taxonomy code is 173000000X and license number is 039405, license state is located at Georgia. Tina M. Mason, M.d., L.l.c. physically located at 935 River Centre Pl, Lawrenceville GA, 30043-7322. NPI Number 1033115704 has the healthcare provider type.

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1215112321 NPI number is provided on an as is basis without warranty of any kind. 1215112321 is maintained by the National Plan & Provider Enumeration System. The contents of Tina M. Mason, M.d., L.l.c. are for informational purposes only.