Mason, Tamarah

Mason, Tamarah is an individual health care provider with primary practice located at 203 Vaughan Memorial Dr , Selma AL 36701-6950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mason, Tamarah can be contacted via phone (334) 375-8007.

Contact Information

Primary practice address
203 Vaughan Memorial Dr Selma AL 36701-6950
Fax: (334) 526-1849
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-049707 Alabama

Profile Details

NPI number 1104867837
LBN Legal business name Mason, Tamarah
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 17th, 2019 - about 6 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 1104867837 NPPES
Alabama MEDICAID 630902049
Alabama MEDICAID 630904049
Alabama MEDICAID 630900049
Alabama Other 511-52699

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