Larry Michael Mason in Byrdstown - Family Medicine
Larry Michael Mason - NPI 1730171414
Larry Michael Mason is a Family Medicine in Byrdstown, Tennessee. Larry Michael Mason practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry Michael Mason is 1730171414. The last update date is 2018-07-09.
Larry Michael Mason's current location address is 8401 Highway 111, Byrdstown, Tennessee. You can contact this provider via phone number 9318643187 and fax number 9318647102. The mailing address for Larry Michael Mason is 8401 Highway 111, Byrdstown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Michael Mason |
|---|---|
| Address | 8401 Highway 111, Byrdstown, Tennessee |
| Phone Number | 9318643187 |
| Fax Number | 9318647102 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730171414 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2018-07-09 |
Provider Mailing Address Detail
| Address | 8401 Highway 111 |
|---|---|
| City | Byrdstown |
| State | Tennessee (TN) |
| Post Code | 385496031 |
| Phone Number | 9318643187 |
| Fax Number | 9318647102 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD0000013950 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3190756 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Michael Mason by the Centers for Medicare & Medicaid Services?
The Larry Michael Mason has been assigned the NPI (National Provider Identifier) 1730171414 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Larry Michael Mason is physically located?
The Larry Michael Mason is physically situated at the following address: 8401 Highway 111, Byrdstown, TN, 385496031.
What is Larry Michael Mason's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry Michael Mason's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Larry Michael Mason receive the assignment of its 1730171414 from the Centers for Medicare & Medicaid Services?
The Larry Michael Mason was issued its 1730171414 by the Centers for Medicare & Medicaid Services on 2005-08-18.
When was the information pertaining to Larry Michael Mason most recently updated or revised?
The details related to Larry Michael Mason, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-09.