Individual
MARIA C MASCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 SILVERWOOD CT, SUITE 100, RINCON, GA 31326-5131
(912) 826-3927
(912) 826-3931
Mailing address
PO BOX 14417, SAVANNAH, GA 31416-1417
(912) 629-2290
(912) 629-2291
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
052469
GA
207RP1001X
Pulmonary Disease Physician
Primary
052469
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
052469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290015487
RAILROAD MEDICARE
GA
05
—
487007710B
—
GA
Enumeration date
03/08/2006
Last updated
05/10/2016
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