Organization
JOSEPH L. MICCA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L MICCA MD (OWNER)
(770) 888-2524
Entity
Organization
Contact information
Practice address
1938 RAND RIDGE CT, MARIETTA, GA 30062-5340
(770) 596-7328
(770) 809-5063
Mailing address
PO BOX 3253, ALPHARETTA, GA 30023-3253
(770) 888-2524
(770) 888-2510
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
39179
GA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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