Organization
MADISON OB/GYN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE F MASON MD (PARTNER)
(601) 853-0100
Entity
Organization
Contact information
Practice address
115 FOUNTAINS BLVD, SUITE A, MADISON, MS 39110-6344
(601) 853-0100
(601) 853-3999
Mailing address
115 FOUNTAINS BLVD, SUITE A, MADISON, MS 39110-6344
(601) 853-0100
(601) 853-3999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2011
Last updated
12/13/2022
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