MEDICARE: FRANCISCO ZARAGOZA MT

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	225700000X	Massage Therapist	MT000901	GA

General Provider Information

NPI Number	:	1306206610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO ZARAGOZA MT

Provider Business Mailing Address
First Line	:	603 SHERWOOD OAKS RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-5215
Country	:	US
Telephone Number	:	404-435-1189
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 SHERWOOD OAKS RD
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-5215
Country	:	US
Telephone Number	:	404-435-1189
Fax Number	:

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

Provider Enumeration Date	:	02/29/2016
Last Update Date	:	02/29/2016

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Directions to “ FRANCISCO ZARAGOZA MT” Practice Location

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