| Mason Pham, | |
|
6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8231 | |
| (423) 869-3611 | |
| Not Available |
| Full Name | Mason Pham |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 6965 Cumberland Gap Pkwy, Harrogate, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144905886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4050471 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Pham, 2017 Vail Dr, Garland, TX 75044-6790 Ph: (468) 888-3048 | Mason Pham, 6965 Cumberland Gap Pkwy, Harrogate, TN 37752-8231 Ph: (423) 869-3611 |
Alec Wiscombe, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Parkway, Harrogate, TN 37752 Phone: 423-869-3611 | |
Karoline Gasque, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Joshua O Leatherwood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 865-309-0746 | |
Silver Kaylor, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 | |
Caroline Kincaid, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6965 Cumberland Gap Pkwy, Harrogate, TN 37752 Phone: 423-869-3611 |