Individual
LAQUINTA M MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BENJAMIN H HILL DR SW, FITZGERALD, GA 31750-8606
(229) 635-4004
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN296128
GA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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