Individual
TYRELL MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7113 BENTZ ST, CHARLOTTE, NC 28269-3992
(689) 290-5043
Mailing address
7113 BENTZ ST, CHARLOTTE, NC 28269-3992
(689) 290-5043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
000041687900
NC
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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