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NPI Code Detail

MEDICARE: DR. ERIN S MASSARELLO

MEDICARE: DR. ERIN S MASSARELLO
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
11835C0205XCritical Care Pharmacist028511GA

General Provider Information

NPI Number : 1851241491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN S MASSARELLO
Provider Business Mailing Address
First Line : 209 PARK CREEK DR
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-2237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 NORTHSIDE CHEROKEE BLVD
Second Line :
City : CANTON
State : GA
Zip : 30115-8015
Country : US
Telephone Number : 770-224-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ DR. ERIN S MASSARELLO ” Practice Location

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