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Individual

DR. CHAWLA LATOYA MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1197
(601) 984-5939
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1197
(601) 984-5939

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19699
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06888741
MS
Enumeration date
07/02/2007
Last updated
10/17/2016
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