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NPI Code Detail

MEDICARE: MASON HOWARD

MEDICARE: MASON HOWARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramGA

General Provider Information

NPI Number : 1578490694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASON HOWARD
Provider Business Mailing Address
First Line : 1778 DUBLIN EASTMAN RD
Second Line :
City : DEXTER
State : GA
Zip : 31019-4005
Country : US
Telephone Number : 478-484-3728
Fax Number : 478-484-3728
Provider Business Practice Location Address
First Line : 777 HEMLOCK ST
Second Line :
City : MACON
State : GA
Zip : 31201-2102
Country : US
Telephone Number : 478-633-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MASON HOWARD ” Practice Location

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