Provider Demographics
NPI:1821196866
Name:MASON, BRIAN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:PATRICK
Last Name:MASON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PEIDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:770-994-9326
Practice Address - Street 1:750 TOWNPARK LN NW
Practice Address - Street 2:TOWN PARK COMPREHENSIVE MEDICAL CENTER
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-5579
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:770-994-4747
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-01-13
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Provider Licenses
StateLicense IDTaxonomies
GA41460207PE0004X
GA041460207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services