Individual
ROBERT VIRGIL MASOCOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4289
(864) 455-7800
(864) 455-9037
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37226
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
37226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
03/24/2011
Last updated
12/17/2021
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