Doctor Name: | MISS TINA MARIE MASON |
NPI Number: | 1255392148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 039405 |
Business Practice Address: | 6300 Hospital Pkwy Suite 200 Johns Creek, GA - 300971828 |
Business Phone Number: | 6789855800 |
Business Fax Number: | 6783765848 |
Mailing Address: | 6300 Hospital Pkwy, Suite 200 JOHNS CREEK |
State: | GA |
Postal Code: | 300971828 |
Phone Number: | 6789855800 |
Fax Number: | 6783765848 |
NPI Enumeration Date: | 03/30/2006 |
NPI Last Update Date: | 07/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 039405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |