Individual
AMY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 REDSTONE RD, JEFFERSON, GA 30549-8212
(770) 315-5624
Mailing address
70 REDSTONE RD, JEFFERSON, GA 30549-8212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN238914
GA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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