Provider Demographics
NPI:1962538090
Name:MASON, PATRICIA GRIFFIS (CRTT RCP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:GRIFFIS
Last Name:MASON
Suffix:
Gender:F
Credentials:CRTT RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOPEZ LN
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-7542
Mailing Address - Country:US
Mailing Address - Phone:919-553-0554
Mailing Address - Fax:
Practice Address - Street 1:205 LOPEZ LN
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-7542
Practice Address - Country:US
Practice Address - Phone:919-553-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA1216227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13861OtherBCBS