MEDICARE: MISS MARGARITA LUCIA STRICKLAND CSA CFA

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	363AS0400X	Surgical Physician Assistant	100907	CA

General Provider Information

NPI Number	:	1851464820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARGARITA LUCIA STRICKLAND CSA CFA

Provider Business Mailing Address
First Line	:	PO BOX 1157
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-1157
Country	:	US
Telephone Number	:	770-985-4257
Fax Number	:	770-985-4258

Provider Business Practice Location Address
First Line	:	2306 WINTERSET PKWY SE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-6548
Country	:	US
Telephone Number	:	770-985-4257
Fax Number	:	770-985-4258

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	07/08/2007

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