Individual
MR. MICHAEL WAYNE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
636 LONG POINT RD, UNIT 6 BOX 31, MT PLEASANT, SC 29464-8286
(859) 221-1219
Mailing address
636 LONG POINT RD, UNIT 6 BOX 31, MT PLEASANT, SC 29464-8286
(859) 221-1219
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
318226
TN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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