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Individual

SCOTT MASSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1295 HEMBREE RD STE A105, ROSWELL, GA 30076-3809
(770) 929-9033
(770) 929-9092
Mailing address
3390 PEACHTREE RD NE STE 1500, ATLANTA, GA 30326-2822
(770) 929-9033

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101021725
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101025390
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
86021
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5101021725
MI
Enumeration date
05/26/2015
Last updated
10/28/2020
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