MEDICARE: JAVIER ALEJANDRO ZORRILLA MUNOZ M.D.

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	207R00000X	Internal Medicine Physician	110968	GA

General Provider Information

NPI Number	:	1164112553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVIER ALEJANDRO ZORRILLA MUNOZ M.D.

Provider Business Mailing Address
First Line	:	1270 PRINCE AVE
Second Line	:	SUITE 102
City	:	ATHENS
State	:	GA
Zip	:	30606
Country	:	US
Telephone Number	:	706-475-7055
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 PRINCE AVE
Second Line	:	SUITE 201
City	:	ATHENS
State	:	GA
Zip	:	30606
Country	:	US
Telephone Number	:	706-475-7055
Fax Number	:

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

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	03/02/2026

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