Individual
CHARLES W MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-4730
(318) 812-6450
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017714
LA
208M00000X
Hospitalist Physician
017714
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347744
—
LA
Enumeration date
08/11/2006
Last updated
02/07/2023
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