Individual
MICHAEL JASON MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 HOSPITAL DR, CLYDE, NC 28721-8027
(828) 456-7343
(828) 452-0939
Mailing address
540 HOSPITAL DR, CLYDE, NC 28721-8027
(828) 456-7343
(828) 452-0939
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26564
NC
207NS0135X
Procedural Dermatology Physician
26564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202801A
PTAN
NC
01
—
54667
BLUE CROSS BLUE SHIELD
—
01
—
561473220
ALL OTHER INSURANCE
—
05
—
8954667
—
NC
Enumeration date
09/14/2005
Last updated
03/25/2015
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