AMANDA NOEL MASON

LAKESIDE CLINIC LLC

Dr AMANDA NOEL MASON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015 from University Of South Alabama College Of Medicine.

Contact

LAKESIDE CLINIC LLC

2337 HOMER CLAYTON DR
GUNTERSVILLE
AL
359762205

Tel: 2565825131

AMANDA NOEL MASON Information

Npi 1265893952
Pac Id 7618276197
Professional Enrollment Id I20160504002748
Last Name MASON
First Name AMANDA
Middle Name NOEL
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKESIDE CLINIC LLC
Group Practice Pac Id 8628980034
Number Of Group Practice Members 11
Line 1 Street Address 2337 HOMER CLAYTON DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GUNTERSVILLE
State AL
Zip Code 359762205
Phone Number 2565825131
Hospital Affiliation Ccn 1 010005
Hospital Affiliation Lbn 1 MARSHALL MEDICAL CENTERS
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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