Individual
CAROL M. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 205, KENNER, LA 70065-2489
(504) 412-1705
(504) 412-1702
Mailing address
1542 TULANE AVE, SUITE 123-HCN, NEW ORLEANS, LA 70112-2865
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
016651
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
016651
LA
207RP1001X
Pulmonary Disease Physician
Primary
016651
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08184555
—
MS
05
—
1388564
—
LA
Enumeration date
07/24/2006
Last updated
09/06/2012
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