Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 5009594 | NC |
NPI | 1265952485 |
---|---|
Provider Name | Mrs. Megan Marie Mason |
First Address | Greensboro, NC 27407-5471 |
Second Address | Greensboro, NC 27401-1004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2017 |
Last Update Date | 20/09/2021 |