Individual
GARY MERLIN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 980-5290
(865) 980-5295
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD28318
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504791
—
TN
Enumeration date
04/07/2006
Last updated
04/19/2019
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