| Mason Primary Care | |
|
3500 Mcclure Bridge Rd Duluth GA 30096-3131 | |
| (770) 476-3636 | |
| (770) 476-5845 |
| Full Name | Mason Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 3500 Mcclure Bridge Rd, Duluth, Georgia |
| Authorized Official Name and Position | Missy Martin (BILLING MANAGER) |
| Authorized Official Contact | 7706223114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Primary Care Po Box 248 Duluth GA 30096-0005 Ph: (770) 476-3636 | Mason Primary Care 3500 Mcclure Bridge Rd Duluth GA 30096-3131 Ph: (770) 476-3636 |
| NPI Number | 1952351116 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952351116 | NPI | - | NPPES |
| 000364339S | Medicaid | GA | |
| 000817363D | Medicaid | GA | |
| 055002346A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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