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
Fax: (770) 476-5845
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 1235230079 NPPES
Georgia MEDICAID 000178318A
Georgia Other 4031159

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