JERRI NICOLE MASANOVICH

LEXINGTON, SC
NPI1366922866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  22146)
Enumeration Date2018-08-15
Last Update Date2021-11-19
Business Address
JERRI NICOLE MASANOVICH NP
171B MONROE LN
LEXINGTON, SC 29072-3904
Phone number: 803-358-8496
Mailing Address
JERRI NICOLE MASANOVICH NP
1209 LOWNSDALE RD
WEST COLUMBIA, SC 29170-3178
Phone number: 803-920-6376