Mason, Charles

Mason, Charles is an individual health care provider with primary practice located at 101 E Wood St Suite 401, Spartanburg SC 29303-3040. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Mason, Charles can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Suite 401 Spartanburg SC 29303-3040
Phone: (864) 560-6654
Fax: (864) 560-7388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X A556 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A556 South Carolina

Profile Details

NPI number 1255396321
LBN Legal business name Mason, Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 5th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255396321 NPPES
South Carolina MEDICAID 0462PA
South Carolina Other 196538

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