Search › Georgia › 363LF0000X
Faniska Massillon
NPI 1093338733 · on the registry since 2020 · sole proprietor
Practice
- Address
- Po Box 920095
Norcross, GA 30010 - Phone
- (407) 308-9573
Additional practice sites
- 2100 Riveredge Pkwy, Atlanta, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363LF0000X
363LF0000X - Licence states on file
- GA, NY, CA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia