Mason, Phyllis Elaine

Mason, Phyllis Elaine is an individual health care provider with primary practice located at 620 Crossover Road , Tupelo MS 38801-4944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mason, Phyllis Elaine can be contacted via phone (662) 620-7101.

Contact Information

Primary practice address
620 Crossover Road Tupelo MS 38801-4944
Phone: (662) 620-7101
Fax: (662) 842-1457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 06656 Mississippi

Profile Details

NPI number 1881636645
LBN Legal business name Mason, Phyllis Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 9th, 2023 - about last year

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 1881636645 NPPES
Mississippi MEDICAID 02284339
Mississippi Other 300138467
Mississippi MEDICAID 009919405
Mississippi Other 300001102

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