Provider Demographics
NPI:1831498013
Name:MASON, SHEILA R (PHARMD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:R
Last Name:MASON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1579
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30514-1579
Mailing Address - Country:US
Mailing Address - Phone:706-835-6758
Mailing Address - Fax:706-745-2875
Practice Address - Street 1:43 HIGHWAY 515 STE B
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3571
Practice Address - Country:US
Practice Address - Phone:706-745-1700
Practice Address - Fax:706-745-1675
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-27
Last Update Date:2011-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024301183500000X
NC19764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist