Individual
JAMES S. MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1297
(315) 376-4505
(313) 376-4259
Mailing address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1297
(315) 376-4505
(315) 376-4259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
027867
GA
207X00000X
Orthopaedic Surgery Physician
Primary
309442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790743D
—
GA
01
—
372315400
UNIQUE SUPPLIER IDENTIFIE
—
01
—
393116
BCBSGA
GA
01
—
P00238249
RAILROAD MEDICARE
GA
Enumeration date
02/15/2006
Last updated
04/21/2021
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