Individual
MEGAN E. MASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1819 CLINCH AVE STE 114, KNOXVILLE, TN 37916-2435
(865) 524-1631
(833) 908-2100
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-01901
NC
207Q00000X
Family Medicine Physician
Primary
OT016720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912387267
—
NC
Enumeration date
06/02/2015
Last updated
06/07/2022
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