Individual
DR. NICOLE M MASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MAGNOLIA AND FIFTH STREET, BUILDING 6, MOUNTAIN HOME, TN 37684
(423) 439-8038
(423) 439-8070
Mailing address
BOX 70431, WILLIAM L. JENKINS FORENSIC CENTER, ETSU/QUILLEN COM, JOHNSON CITY, TN 37614
(423) 439-8038
(423) 439-8070
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
0101248381
VA
Other
Enumeration date
07/09/2008
Last updated
06/21/2013
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