Individual
MASON ANTHONY MAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1995 N PARK PL SE STE 550, ATLANTA, GA 30339
(770) 740-1860
Mailing address
2365 OLD MILTON PKWY STE 300, ALPHARETTA, GA 30009-2140
(770) 740-1860
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A4482
MS
Other
Enumeration date
08/20/2018
Last updated
10/07/2019
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