Individual
MASON MARK CHUMPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
816 THISTLEDOWN DR, MEMPHIS, TN 38117-5013
(901) 517-6792
Mailing address
816 THISTLEDOWN DR, MEMPHIS, TN 38117-5013
(901) 517-6792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56624
TN
207R00000X
Internal Medicine Physician
E-14761
AR
Other
Enumeration date
05/28/2014
Last updated
05/18/2023
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