Pediatric Associates, PC

NPI #1790994317 in Marietta, Georgia

Provider Information

NPI Number: 1790994317
Entity Type: Organization
Organization Name: Pediatric Associates, PC
Primary Specialty: Pediatrics
Enumeration Date: May 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3000 JOHNSON FERRY RD
Address 2: SUITE 204
City: Marietta
State: Georgia
ZIP Code: 30062-5683
Phone: (770) 993-2922

Authorized Official

Name: DR. ROBERT M. LICATA, MD
Title: PRESIDENT
Phone: (770) 993-2922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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