Individual
DR. JOHN BOHANNON MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
93-00220
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
93-00220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8954898
—
NC
05
—
N00220
—
SC
Enumeration date
11/16/2005
Last updated
06/04/2010
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