Individual
DR. WALTER LAWRENCE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1410 TUSCULUM BLVD, SIUITE 1700, GREENEVILLE, TN 37745-4286
(423) 787-7100
(423) 787-7109
Mailing address
1410 TUSCULUM BLVD, SIUITE 1700, GREENEVILLE, TN 37745-4286
(423) 787-7100
(423) 787-7109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000003164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116878
—
TN
Enumeration date
09/27/2006
Last updated
12/14/2009
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