Individual
ALEXIS TANISHIA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 536-5511
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34540
AL
207Q00000X
Family Medicine Physician
51195
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
04/01/2026
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