Mason, Gary Merlin

Mason, Gary Merlin is an individual health care provider with primary practice located at 1503 E Lamar Alexander Pkwy , Maryville TN 37804-5131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mason, Gary Merlin can be contacted via phone (865) 980-5290.

Contact Information

Primary practice address
1503 E Lamar Alexander Pkwy Maryville TN 37804-5131
Fax: (865) 980-5295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD28318 Tennessee

Profile Details

NPI number 1033172481
LBN Legal business name Mason, Gary Merlin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Apr 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033172481 NPPES
Tennessee MEDICAID 1504791

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