Doctor Name: | SARAH JOANNA MASON |
NPI Number: | 1093172157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 7275 S Siwell Rd Byram, MS - 392729776 |
Business Phone Number: | 6013737722 |
Business Fax Number: | 6013737128 |
Mailing Address: | 7275 S Siwell Rd, BYRAM |
State: | MS |
Postal Code: | 392729776 |
Phone Number: | 6013737722 |
Fax Number: | 6013737128 |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |