Mason, Miles H
Mason, Miles H is an sole proprietor health care provider with primary practice located at 3500 Mcclure Bridge Road , Duluth GA 30096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mason, Miles H can be contacted via phone (770) 476-3021.Contact Information
Primary practice address
3500 Mcclure Bridge Road
Duluth GA 30096
Phone: (770) 476-3021
Fax: (770) 476-5845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15399 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15399 | Georgia |
Profile Details
| NPI number | 1235230079 |
|---|---|
| LBN Legal business name | Mason, Miles H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Nov 25th, 2009 - about 16 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 | 1235230079 | NPPES |
| Georgia | MEDICAID | 000178318A | |
| Georgia | Other | 4031159 |
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