MEDICARE: DANIEL FRANCIS MASSA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC009835	PA
2	111N00000X	Chiropractor	CHIR008219	GA

General Provider Information

NPI Number	:	1093993883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL FRANCIS MASSA D.C.

Provider Business Mailing Address
First Line	:	315 N LOUISVILLE ST STE C
Second Line	:
City	:	HARLEM
State	:	GA
Zip	:	30814-5356
Country	:	US
Telephone Number	:	478-299-0496
Fax Number	:	814-375-9880

Provider Business Practice Location Address
First Line	:	315 N LOUISVILLE ST STE C
Second Line	:
City	:	HARLEM
State	:	GA
Zip	:	30814-5356
Country	:	US
Telephone Number	:	706-901-5060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	07/11/2019

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