Individual
MR. JOSHUA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
Mailing address
4934 WYETH WAY, JOHNS CREEK, GA 30022-8315
(678) 640-0268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003972
GA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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