Licata, Robert Michael
Licata, Robert Michael is an individual health care provider with primary practice located at 3000 Johnson Ferry Rd Suite 204, Marietta GA 30062-5683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Licata, Robert Michael can be contacted via phone (770) 993-2922.Contact Information
Primary practice address
3000 Johnson Ferry Rd Suite 204
Marietta GA 30062-5683
Phone: (770) 993-2922
Fax: (770) 993-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025457 | Georgia |
Profile Details
| NPI number | 1326006552 |
|---|---|
| LBN Legal business name | Licata, Robert Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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