Individual
MASON HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
Mailing address
4414 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7520
(919) 787-0266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-01704
NC
208000000X
Pediatrics Physician
LL82175
SC
Other
Enumeration date
05/06/2019
Last updated
07/21/2022
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