Individual
MR. LARRY MICHAEL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 HIGHWAY 111, BYRDSTOWN, TN 38549
(931) 864-3187
(931) 864-7102
Mailing address
8401 HIGHWAY 111, BYRDSTOWN, TN 38549-6031
(931) 864-3187
(931) 864-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000013950
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190756
—
TN
Enumeration date
08/18/2005
Last updated
07/09/2018
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