Individual
KEVIN D MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 FRANKLIN RD SE, MARIETTA, GA 30067-8721
(770) 951-5400
(770) 951-5408
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(770) 951-5400
(770) 951-5408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028604
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000326851O
—
GA
Enumeration date
06/20/2006
Last updated
10/03/2018
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