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Individual

ERIC WAYNE MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3034
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29329
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
29329
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132EX
BCBS NC
NC
01
18464
PARTNERS
NC
01
57286
MEDCOST
NC
01
6640249
CIGNA
NC
05
89132EX
NC
Enumeration date
08/31/2006
Last updated
12/11/2007
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