Mason, Carolye Valerie
Mason, Carolye Valerie is an sole proprietor health care provider with primary practice located at 655 7Th St Bldg 700700-A 78 Mdg/Sghc, Robins Afb GA 31098-2227. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mason, Carolye Valerie can be contacted via phone (478) 327-8056.Contact Information
Primary practice address
655 7Th St Bldg 700700-A 78 Mdg/Sghc
Robins Afb GA 31098-2227
Phone: (478) 327-8056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011813 | Georgia |
Profile Details
| NPI number | 1093824666 |
|---|---|
| LBN Legal business name | Mason, Carolye Valerie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | May 21st, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093824666 | NPPES |
| Georgia | MEDICAID | 000918849D |
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