Individual
DR. MICHAEL LLOYD MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
25 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 375-2516
(912) 379-0755
Mailing address
PO BOX 430, 25 CROSS ST, HAZLEHURST, GA 31539-0430
(912) 373-2516
(912) 379-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000687761A
—
GA
Enumeration date
11/18/2005
Last updated
06/02/2008
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