Individual
TAEVEON JAKAIN MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
10071 BROAD RIVER RD STE H, IRMO, SC 29063-2381
(803) 269-2168
Mailing address
10071 BROAD RIVER RD STE H, IRMO, SC 29063-2381
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/29/2022
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