Jessica Anne Masocol
Family Doctor Family Doctor - Geriatric Medicine
300 Scuffletown Rd
Simpsonville
, South Carolina 29681-7204
Jessica Anne Masocol
Family Doctor Family Doctor - Geriatric Medicine
300 Scuffletown Rd
Simpsonville
, South Carolina 29681-7204
(864) 797-6198
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Jessica Anne Masocol
- 1 Independence Pt Suite 212
- Greenville, SC
- Zip : 29615-4545
- Fax : (864) 797-6198
- Phone : (864) 797-6044
Second Address
- Jessica Anne Masocol
- 300 Scuffletown Rd
- Simpsonville, SC
- Zip : 29681-7204
- Phone : (864) 329-0029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 36907 | SC |
| N | 207Q00000X | Family Doctor | ME114027 | FL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 0116025456 | VA |
National Provider Identifier
| NPI | 1124378864 |
|---|---|
| Provider Name | Jessica Anne Masocol |
| First Address | Greenville, SC 29615-4545 |
| Second Address | Simpsonville, SC 29681-7204 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2012 |
| Last Update Date | 17/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.