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ROBERT MICHAEL LICATA MD NPI 1326006552


NPI Information

NPI: 1326006552
Provider Name: ROBERT MICHAEL LICATA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3000 JOHNSON FERRY RD
SUITE 204
MARIETTA, GA
ZIP 30062
Phone: (770) 993-2922
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Robert Michael Licata, MD is a pediatrics in Marietta, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Robert Michael Licata, MD NPI is 1326006552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 JOHNSON FERRY RD
SUITE 204
MARIETTA, GA
ZIP 30062-683
Phone: (770) 993-2922
Fax: (770) 993-7325

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics025457GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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