Individual
MRS. DIANA MASOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Mailing address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25254
SC
Other
Enumeration date
10/22/2021
Last updated
12/15/2021
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